Provider Demographics
NPI:1861897449
Name:WARNER, LILY (PSYD, LCAT)
Entity type:Individual
Prefix:DR
First Name:LILY
Middle Name:
Last Name:WARNER
Suffix:
Gender:F
Credentials:PSYD, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 YORK AVE APT 15E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6867
Mailing Address - Country:US
Mailing Address - Phone:179-382-1372
Mailing Address - Fax:
Practice Address - Street 1:1755 YORK AVE APT 15E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6867
Practice Address - Country:US
Practice Address - Phone:917-382-1372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-25
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026705103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist