Doctor Name: | MS. LEE INTROP |
NPI Number: | 1023245719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | RO53042-1 |
Business Practice Address: | 153 Main St Roslyn, NY - 115762250 |
Business Phone Number: | 5169845444 |
Business Fax Number: | |
Mailing Address: | 10 Ipswich Ave, Apt 3a GREAT NECK |
State: | NY |
Postal Code: | 110213207 |
Phone Number: | 5169845444 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2009 |
NPI Last Update Date: | 06/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | RO53042-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |