Provider Demographics
NPI:1619025327
Name:GHAZAL, KRISZTINA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KRISZTINA
Middle Name:
Last Name:GHAZAL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 BRONX RIVER RD
Mailing Address - Street 2:SUITE #204
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1720
Mailing Address - Country:US
Mailing Address - Phone:914-237-6089
Mailing Address - Fax:914-237-6099
Practice Address - Street 1:705 BRONX RIVER RD
Practice Address - Street 2:SUITE #204
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1720
Practice Address - Country:US
Practice Address - Phone:914-237-6089
Practice Address - Fax:914-237-6099
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0693791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical