Provider Demographics
NPI:1285665752
Name:TURKEN, ELSA HANNA (LCSW)
Entity Type:Individual
Prefix:
First Name:ELSA HANNA
Middle Name:
Last Name:TURKEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:HANNA
Other - Middle Name:
Other - Last Name:TURKEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:110 48 72ND AVE
Mailing Address - Street 2:BE
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-268-6207
Mailing Address - Fax:718-268-6207
Practice Address - Street 1:330 WEST 58TH ST
Practice Address - Street 2:215
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-397-8292
Practice Address - Fax:718-268-6207
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000159103T00000X
NYPRO2368511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
N32601Medicare ID - Type Unspecified