Healthcare Provider Details

I. General information

NPI: 1366923229
Provider Name (Legal Business Name): ELIZABETH OCSKAY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2018
Last Update Date: 08/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 BROADWAY
NEWBURGH NY
12550-5408
US

IV. Provider business mailing address

6 HUDSON DR
NEW WINDSOR NY
12553-7427
US

V. Phone/Fax

Practice location:
  • Phone: 845-562-8255
  • Fax: 845-562-4140
Mailing address:
  • Phone: 845-565-1037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number075290
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: