Healthcare Provider Details

I. General information

NPI: 1871663641
Provider Name (Legal Business Name): JOY PERLOW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 WEST 75TH ST
NEW YORK NY
10023
US

IV. Provider business mailing address

161 WEST 75TH ST
NEW YORK NY
10023
US

V. Phone/Fax

Practice location:
  • Phone: 212-799-5337
  • Fax: 212-874-6220
Mailing address:
  • Phone: 212-799-5337
  • Fax: 212-874-6220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPR0101031
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: