Healthcare Provider Details

I. General information

NPI: 1356641484
Provider Name (Legal Business Name): CHARON A HOZIER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 10/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE
BROOKLYN NY
11203-2054
US

IV. Provider business mailing address

451 CLARKSON AVE
BROOKLYN NY
11203-2054
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-2721
  • Fax: 718-771-3873
Mailing address:
  • Phone: 718-245-2721
  • Fax: 718-771-3873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number078583
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: