Provider Demographics
NPI:1457686099
Name:TAGER, FLORENCE (LMSW PHD EDUCATION)
Entity Type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:
Last Name:TAGER
Suffix:
Gender:F
Credentials:LMSW PHD EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 EAST 78TH STREET
Mailing Address - Street 2:ACKERMAN INSTITUTE FOR THE FAMILY
Mailing Address - City:NEW YORK,
Mailing Address - State:NY
Mailing Address - Zip Code:10075
Mailing Address - Country:US
Mailing Address - Phone:212-879-4900
Mailing Address - Fax:212-744-0206
Practice Address - Street 1:149 EAST 78TH STREET
Practice Address - Street 2:ACKERMAN INSTITUTE FOR THE FAMILY
Practice Address - City:NEW YORK,
Practice Address - State:NY
Practice Address - Zip Code:10075
Practice Address - Country:US
Practice Address - Phone:212-879-4900
Practice Address - Fax:212-744-0206
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079856-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker