Provider Demographics
NPI:1033269501
Name:GROSZ, JUDITH ARMOUR (LCSW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ARMOUR
Last Name:GROSZ
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 1:605 E 82ND ST
Mailing Address - Street 2:4A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7955
Mailing Address - Country:US
Mailing Address - Phone:212-794-0143
Mailing Address - Fax:212-535-0783
Practice Address - Street 1:605 E 82ND ST
Practice Address - Street 2:4A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-7955
Practice Address - Country:US
Practice Address - Phone:212-794-0143
Practice Address - Fax:212-535-0783
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR012701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNOO701Medicare ID - Type Unspecified