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Organization
ERNEST LEUCI LCSW PC
Active
Organization
ERNEST LEUCI LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST LEUCI LCSWR (PRESIDENT CLINICAL SOCIAL WORKER)
(631) 476-7119
Entity
Organization
Contact information
Practice address
3 PREMIER CT, PORT JEFFERSON STATION, NY 11776-3198
(631) 476-7119
(631) 476-7119
Mailing address
3 PREMIER CT, PORT JEFFERSON STATION, NY 11776-3198
(631) 476-7119
(631) 476-7119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R053666-1
NY
Other
Enumeration date
07/08/2006
Last updated
03/31/2022
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