Healthcare Provider Details

I. General information

NPI: 1215592282
Provider Name (Legal Business Name): PILAR CAZARES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 10/30/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 SHAKESPEARE AVENUE ASTOR SERVICES
BRONX NY
10452-1851
US

IV. Provider business mailing address

206 60TH ST APT 10
WEST NEW YORK NJ
07093-2827
US

V. Phone/Fax

Practice location:
  • Phone: 718-732-7080
  • Fax: 929-523-0235
Mailing address:
  • Phone: 201-668-6807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number096277
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: