Provider Demographics
NPI:1235523861
Name:BIGLIN, GEORGE G (LCSW, TEP)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:G
Last Name:BIGLIN
Suffix:
Gender:M
Credentials:LCSW, TEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 PARK AVE S
Mailing Address - Street 2:SUITE 17L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6121
Mailing Address - Country:US
Mailing Address - Phone:914-400-6013
Mailing Address - Fax:
Practice Address - Street 1:280 PARK AVE S
Practice Address - Street 2:SUITE 17L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6121
Practice Address - Country:US
Practice Address - Phone:914-400-6013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO-176241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health