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Organization
EVELYN KUNTZ LCSW PC
Active
Organization
EVELYN KUNTZ LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN KUNTZ LCSW (PRESIDENT)
(516) 877-1424
Entity
Organization
Contact information
Practice address
55 PARK AVE, WILLISTON PARK, NY 11596-1627
(516) 877-1424
(516) 294-7375
Mailing address
55 PARK AVE, WILLISTON PARK, NY 11596-1627
(516) 877-1424
(516) 294-7375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L18194
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L18194
NY STATE LIC #
NY
Enumeration date
11/09/2005
Last updated
03/27/2015
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