Doctor Name: | MRS. RITA KARDACH |
NPI Number: | 1073566923 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R052735 |
Business Practice Address: | 5 Pasture Ln Roslyn Heights Roslyn Heights, NY - 115772609 |
Business Phone Number: | 5166265390 |
Business Fax Number: | 5166266246 |
Mailing Address: | Po Box 151, Roslyn Heights ROSLYN HEIGHTS |
State: | NY |
Postal Code: | 115770151 |
Phone Number: | 5166265390 |
Fax Number: | 5166266246 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 08/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R052735 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |