Doctor Name: | MS. ELLEN ZANETTI KNOX |
NPI Number: | 1174747745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSW |
License Number: | 037543-IR |
Business Practice Address: | 702 Croton Lake Rd Bedford Corners, NY - 105494235 |
Business Phone Number: | 9142417292 |
Business Fax Number: | |
Mailing Address: | 702 Croton Lake Road, BEDFORD CORNERS |
State: | NY |
Postal Code: | 10549 |
Phone Number: | 9142417292 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 037543-IR |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |