Most Relevant Information
Provider Data
| NPI Number: | 1003219239 |
| Provider Name: | LISA VITUCCI LCSW-R |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | R077876-1 |
Most Important Dates
| Enumeration Date: | 10/02/2014 |
| Last Updated: | 10/12/2016 |
Provider Practice Location
2800 MARCUS AVE
SUITE 205
NEW HYDE PARK
NY
110421113
Practice Location Phone/Fax
| Phone: | 5166226000 |
| Fax: |
Provider Mailing Location
2800 MARCUS AVE
SUITE 205
NEW HYDE PARK
NY
110421113
Provider Mailing Phone/Fax
| Phone: | 5166226000 |
| Fax: |