Provider Demographics
NPI:1427254309
Name:LOWINGER, PHYLLIS (LCSW)
Entity type:Individual
Prefix:MS
First Name:PHYLLIS
Middle Name:
Last Name:LOWINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 WEST 86TH STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:212-666-3400
Mailing Address - Fax:212-666-3400
Practice Address - Street 1:168 W 86TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4022
Practice Address - Country:US
Practice Address - Phone:212-666-3400
Practice Address - Fax:212-666-3400
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR015568-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical