JOHN LAURITZEN MSW LICSW NPI 1124574983

NPI Information

JOHN LAURITZEN MSW LICSW is a mental health (including community mental health center) clinic center in New York, NY. JOHN LAURITZEN MSW LICSW NPI is 1124574983. The provider is registered as an organization entity type.
The provider Is Doing Business As John Lauritzen Hiv Case Management.

The provider's business location address is:

17 STATE ST
SUITE 4000
NEW YORK, NY
ZIP 10004-502
Phone: (917) 880-5894

The provider's authorized official is John F Lauritzen .
The authorized official title is Social Worker and has the following contact phone number (917) 880-5894.

The enumeration date for this NPI number is 8/31/2016 and was last updated on 8/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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