Doctor Name: | MRS. CARRIE BILITZKI |
NPI Number: | 1033488804 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 074455 |
Business Practice Address: | 940 Stanton Ave North Baldwin, NY - 115102437 |
Business Phone Number: | 5163779318 |
Business Fax Number: | |
Mailing Address: | 940 Stanton Ave, NORTH BALDWIN |
State: | NY |
Postal Code: | 115102437 |
Phone Number: | 5163779318 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2011 |
NPI Last Update Date: | 12/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 074455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |