Provider Demographics
NPI:1407957772
Name:LURIE, SHARI ELLEN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:ELLEN
Last Name:LURIE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 OLD COUNTRY ROAD
Mailing Address - Street 2:SUITE 226
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803
Mailing Address - Country:US
Mailing Address - Phone:516-777-1838
Mailing Address - Fax:
Practice Address - Street 1:1670 OLD COUNTRY ROAD
Practice Address - Street 2:SUITE 226
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803
Practice Address - Country:US
Practice Address - Phone:516-777-1838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0369251106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist