| Evelyn Kuntz Lcsw Pc | |
|
55 Park Ave Williston Park NY 11596-1627 | |
| (516) 877-1424 | |
| (516) 294-7375 |
| Full Name | Evelyn Kuntz Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 55 Park Ave, Williston Park, New York |
| Authorized Official Name and Position | Evelyn Kuntz (PRESIDENT) |
| Authorized Official Contact | 5168771424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn Kuntz Lcsw Pc 55 Park Ave Williston Park NY 11596-1627 Ph: (516) 877-1424 | Evelyn Kuntz Lcsw Pc 55 Park Ave Williston Park NY 11596-1627 Ph: (516) 877-1424 |
| NPI Number | 1417938101 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 03/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417938101 | NPI | - | NPPES |
| L18194 | Other | NY | NY STATE LIC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L18194 (New York) | Primary |
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