Healthcare Provider Details

I. General information

NPI: 1265948442
Provider Name (Legal Business Name): ALIZA PLITTMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ALIZA GREENBERG

II. Dates (important events)

Enumeration Date: 12/25/2017
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 N MAIN ST
NEW SQUARE NY
10977-8916
US

IV. Provider business mailing address

REFUAH HEALTH CENTER 728 N. MAIN STREET
SPRING VALLEY NY
10977-8916
US

V. Phone/Fax

Practice location:
  • Phone: 845-354-9300
  • Fax:
Mailing address:
  • Phone: 845-354-9300
  • Fax: 845-517-1924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100720
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: