Provider Demographics
NPI:1114157765
Name:INGBER, TSVI H (LCSW, ACSW)
Entity Type:Individual
Prefix:DR
First Name:TSVI
Middle Name:H
Last Name:INGBER
Suffix:
Gender:M
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7636 168TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1334
Mailing Address - Country:US
Mailing Address - Phone:718-591-6080
Mailing Address - Fax:
Practice Address - Street 1:7636 168TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1334
Practice Address - Country:US
Practice Address - Phone:718-591-6080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR028276-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05739OtherMEDICARE PROVIDER#
NYP88420Medicare UPIN