Provider Demographics
NPI:1578794962
Name:BUZNITSKY, DOROTHY (MSW, LSW)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:
Last Name:BUZNITSKY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E. HANOVER AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927
Mailing Address - Country:US
Mailing Address - Phone:973-886-3613
Mailing Address - Fax:973-628-2240
Practice Address - Street 1:100 E. HANOVER AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927
Practice Address - Country:US
Practice Address - Phone:973-886-3613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL054938001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical