| Doctor Name: | MRS. AMY CIRBUS |
| NPI Number: | 1063595106 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, LPC |
| License Number: | 37PC00289600 |
| Business Practice Address: | 14728 19th Ave Apt. 2 Whitestone, NY - 113573110 |
| Business Phone Number: | 9179165509 |
| Business Fax Number: | |
| Mailing Address: | 14728 19th Ave, Apt. 2 WHITESTONE |
| State: | NY |
| Postal Code: | 113573110 |
| Phone Number: | 9179165509 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 07/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00289600 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |