Provider Demographics
NPI:1326021924
Name:PARR-TRONSKY, BETHANY C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BETHANY
Middle Name:C
Last Name:PARR-TRONSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BETHANY
Other - Middle Name:C
Other - Last Name:TRONSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3001 HENRY HUDSON PKWY
Mailing Address - Street 2:APT 6B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4728
Mailing Address - Country:US
Mailing Address - Phone:917-318-7443
Mailing Address - Fax:
Practice Address - Street 1:3001 HENRY HUDSON PKWY
Practice Address - Street 2:APT 6B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4728
Practice Address - Country:US
Practice Address - Phone:917-318-7443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0499801041C0700X
NYR049980-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNU9871Medicare UPIN
NY02163986Medicaid