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Individual
DR. PHYLLIS ITZKOWITZ
Active
Individual
DR. PHYLLIS ITZKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PR12875
NY
1041C0700X
Clinical Social Worker
Primary
PR12785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR12875 LCSW
STATE LICENSE #
NY
Enumeration date
11/14/2006
Last updated
09/11/2025
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