Provider Demographics
NPI:1972124527
Name:LIZA KURITSKY LCSW PSYCHOTHERAPY PLLC
Entity type:Organization
Organization Name:LIZA KURITSKY LCSW PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:F
Authorized Official - Last Name:KURITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:973-879-0753
Mailing Address - Street 1:132 NORMAN AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-2915
Mailing Address - Country:US
Mailing Address - Phone:973-879-0753
Mailing Address - Fax:
Practice Address - Street 1:156 5TH AVE STE 1107
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7749
Practice Address - Country:US
Practice Address - Phone:718-982-7284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty