Healthcare Provider Details

I. General information

NPI: 1831268416
Provider Name (Legal Business Name): PAMELA KROMAR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 SLEEPY HOLLOW LN
CONGERS NY
10920-1515
US

IV. Provider business mailing address

159 SLEEPY HOLLOW LN
CONGERS NY
10920-1515
US

V. Phone/Fax

Practice location:
  • Phone: 845-268-2771
  • Fax:
Mailing address:
  • Phone: 845-268-2771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0753481
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: