Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 0109999 | NY |
Y | 103T00000X | Psychologist | 0109999 | NY |
NPI | 1003990987 |
---|---|
Provider Name | Dr. Margot Lacey |
First Address | Briarcliff Manor, NY 10510-2526 |
Second Address | Briarcliff Manor, NY 10510-1403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |