Doctor Name: | MR. HEIKO GANZER |
NPI Number: | 1316990732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW-R |
License Number: | R055707 |
Business Practice Address: | 4 Neptune Rd Rocky Point, NY - 117789623 |
Business Phone Number: | 6317443108 |
Business Fax Number: | 6318496429 |
Mailing Address: | 4 Neptune Rd, ROCKY POINT |
State: | NY |
Postal Code: | 117789623 |
Phone Number: | 6317443108 |
Fax Number: | 6318496429 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R055707 |
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 |