Healthcare Provider Details
I. General information
NPI: 1013102995
Provider Name (Legal Business Name): JULIE ZUCKER KUHN MS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/13/2007
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
615 BROADWAY
HASTINGS ON HUDSON NY
10706-1039
US
IV. Provider business mailing address
615 BROADWAY
HASTINGS ON HUDSON NY
10706-1039
US
V. Phone/Fax
- Phone: 914-478-5412
- Fax: 914-478-1700
- Phone: 914-478-5412
- Fax: 914-478-1700
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 73042151 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: