Provider Demographics
NPI:1063471233
Name:STRONGER, PHILIP (LCSW)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:
Last Name:STRONGER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 15 71ST AVENUE
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-2717
Mailing Address - Country:US
Mailing Address - Phone:917-655-1108
Mailing Address - Fax:718-831-1656
Practice Address - Street 1:251 15 71ST AVENUE
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2717
Practice Address - Country:US
Practice Address - Phone:917-655-1108
Practice Address - Fax:718-831-1656
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRP0200221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
N33251Medicare ID - Type Unspecified
R46808Medicare UPIN