Provider Demographics
NPI:1083339832
Name:CHRISTOPHER PANZICA, LCSW P.C.
Entity Type:Organization
Organization Name:CHRISTOPHER PANZICA, LCSW P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:PANZICA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-673-7658
Mailing Address - Street 1:200 W 81ST ST APT 43
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5841
Mailing Address - Country:US
Mailing Address - Phone:646-673-7658
Mailing Address - Fax:
Practice Address - Street 1:1123 BROADWAY STE 923
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2007
Practice Address - Country:US
Practice Address - Phone:646-854-7658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty