MR. Elisha Tricoche, LMSW

NPI #1043567365 in Bay Shore, New York

Provider Information

NPI Number: 1043567365
Entity Type: Individual
Name: MR. Elisha Tricoche, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Aug 6, 2012
Last Updated: Aug 6, 2012

Practice Location

Address: 1444 5TH AVE
City: Bay Shore
State: New York
ZIP Code: 11706-4147
Phone: (631) 647-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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