Provider Demographics
NPI:1104961226
Name:MCCUE, LARRY ANDREW (LCSW)
Entity type:Individual
Prefix:MR
First Name:LARRY
Middle Name:ANDREW
Last Name:MCCUE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ROSLYN LN
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3615
Mailing Address - Country:US
Mailing Address - Phone:845-642-0997
Mailing Address - Fax:
Practice Address - Street 1:19 ROSLYN LN
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3615
Practice Address - Country:US
Practice Address - Phone:845-642-0997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31137R170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS