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Individual

ADELE KATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
18-15 215THSTREET, APARTMENT 14C, BAYSIDE, NY 11360-2142
(718) 423-8134
(718) 229-9053
Mailing address
1815 215TH ST APT 14C, BAYSIDE, NY 11360-2142
(718) 423-8134
(718) 229-9053

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R034684
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7404871
GHI PROVIDER PIN
NY
01
NF048
EMPIRE PROVIDER PIN
NY
Enumeration date
01/02/2007
Last updated
07/09/2007
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