Provider Demographics
NPI:1235511056
Name:BICK, TOVAH M
Entity Type:Individual
Prefix:
First Name:TOVAH
Middle Name:M
Last Name:BICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TOVAH
Other - Middle Name:M
Other - Last Name:AZRIEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:187 BEACH 138TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLE HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1337
Mailing Address - Country:US
Mailing Address - Phone:917-518-5233
Mailing Address - Fax:
Practice Address - Street 1:187 BEACH 138TH ST
Practice Address - Street 2:
Practice Address - City:BELLE HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11694-1337
Practice Address - Country:US
Practice Address - Phone:917-518-5233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator