MS. Michele Itskowitch, LICENSED CLINICAL SO

NPI #1538296165 in NY, New York

Provider Information

NPI Number
1538296165
Entity Type
Individual
Name
MS. Michele Itskowitch, LICENSED CLINICAL SO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICENSED CLINICAL SO
Enumeration Date
Feb 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1155 PARK AVENUE
Address 2
MEDICAL SUITE B
City
NY
ZIP Code
10128
Phone
(212) 734-5491

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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