Provider Demographics
NPI:1598981797
Name:KURZYNA, MARILYN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:
Last Name:KURZYNA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MARILYN
Other - Middle Name:
Other - Last Name:LIPSON-KURZYNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:68 E 3RD ST APT 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9240
Mailing Address - Country:US
Mailing Address - Phone:212-677-8655
Mailing Address - Fax:
Practice Address - Street 1:80 E 11TH ST SUITE 636
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-677-8655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO36158-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical