Anthony Lambros, MSW
Individual provider Active NPI Psychologist · Centerport, NY
NPI 1255055232 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1255055232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 012248-1 (NY)
- Practice address
- 67A Laurel Hill Rd
Centerport, NY 11721-1638 - Phone
- (631) 239-6067
- Fax
- (631) 239-6064
- NPI assigned
- Oct 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012248-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 012248-1 | NY | Yes |
Addresses
Primary practice location
67A Laurel Hill Rd
Centerport, NY 11721-1638
Mailing address
67A Laurel Hill Rd
Centerport, NY 11721-1638
Phone (631) 239-6067
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
Other providers in Centerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.