Provider Demographics
NPI:1619288792
Name:KURINSKY, PHILIP (LCSW)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:
Last Name:KURINSKY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:PINCHOS
Other - Middle Name:
Other - Last Name:KURINSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:76 CLOVE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-3205
Mailing Address - Country:US
Mailing Address - Phone:718-221-9221
Mailing Address - Fax:
Practice Address - Street 1:76 CLOVE RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3205
Practice Address - Country:US
Practice Address - Phone:718-221-9221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR022960101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health