| Doctor Name: | MS. LENORE FELICE CANAVARROS |
| NPI Number: | 1255408837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, CSW |
| License Number: | PO63343-1 |
| Business Practice Address: | 400 Horseblock Rd Ste H Farmingville, NY - 117381252 |
| Business Phone Number: | 6314512211 |
| Business Fax Number: | 6314511463 |
| Mailing Address: | 17 Brandywine Dr, SETAUKET |
| State: | NY |
| Postal Code: | 117331403 |
| Phone Number: | 6316750162 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PO63343-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |