Provider Demographics
NPI:1619633997
Name:ACKERMAN, HOWARD (LSW)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:ACKERMAN
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:CHAIM
Other - Middle Name:YOSEF
Other - Last Name:ACKERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8428 LEFFERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3008
Mailing Address - Country:US
Mailing Address - Phone:917-999-8349
Mailing Address - Fax:
Practice Address - Street 1:8428 LEFFERTS BLVD
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-3008
Practice Address - Country:US
Practice Address - Phone:917-999-8349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health