Jaclyn Anna Lyras

Social Worker · Long Beach, NY

Individual Active NPI

NPI number 1750061503

Practice location

428 E Hudson St
Long Beach, NY 11561-2308
Phone
(631) 740-7179

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NPI record

NPI
1750061503
Entity type
Individual (Type 1)
Enumeration date
July 18, 2023
Last updated
July 18, 2023
Certified
July 18, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X 102909-01 NY

Mailing address

18 Oakview Trl
Ridge, NY 11961-2210
Phone
(631) 740-7179

About Jaclyn Lyras

Jaclyn Anna Lyras is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 428 E Hudson St, Long Beach, NY 11561-2308. The NPI number 1750061503 was assigned on July 18, 2023 and the record was last updated on July 18, 2023.

Jaclyn Lyras lists a license in the registry: #102909-01 (NY) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jaclyn Anna Lyras?

The NPI number is 1750061503.

What is the phone number of Jaclyn Lyras?

The phone number listed for the practice location is (631) 740-7179.

Where is Jaclyn Lyras located?

428 E Hudson St, Long Beach, NY 11561-2308.

What is the taxonomy code for Jaclyn Lyras?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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