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NPI Code Detail

MEDICARE: ALLISON KERRY ERNEST LMSW

MEDICARE:   ALLISON KERRY ERNEST  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social Worker077063NY

General Provider Information

NPI Number : 1962643569
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON KERRY ERNEST LMSW
Provider Business Mailing Address
First Line : 25 LITTLE PLAINS RD
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4550
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 LITTLE PLAINS RD
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4550
Country : US
Telephone Number : 631-266-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2009
Last Update Date : 03/12/2009

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Directions to “ ALLISON KERRY ERNEST LMSW” Practice Location

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