Healthcare Provider Details

I. General information

NPI: 1952607962
Provider Name (Legal Business Name): LINDEN CONSULTING CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 05/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 PALM LN
WEST HEMPSTEAD NY
11552-3024
US

IV. Provider business mailing address

245 HEMPSTEAD AVE SUITE 65
WEST HEMPSTEAD NY
11552-6000
US

V. Phone/Fax

Practice location:
  • Phone: 516-229-1194
  • Fax:
Mailing address:
  • Phone: 516-229-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number000494
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number070346
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number070346
License Number StateNY

VIII. Authorized Official

Name: MRS. TIRTZA LINDENBLATT
Title or Position: PRESIDENT/PRACTITIONER
Credential: LMSW, BCBA,LBA
Phone: 516-967-0821