Provider Demographics
NPI:1518011121
Name:APTEKAR, LUCY W (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:W
Last Name:APTEKAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 BENEDICT PL
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1711
Mailing Address - Country:US
Mailing Address - Phone:516-867-3318
Mailing Address - Fax:
Practice Address - Street 1:1628 BENEDICT PL
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1711
Practice Address - Country:US
Practice Address - Phone:516-867-3318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR029463 DUP1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN6A991Medicare ID - Type Unspecified