Provider Demographics
NPI:1689089492
Name:PLATZNER, BARRETT
Entity Type:Individual
Prefix:
First Name:BARRETT
Middle Name:
Last Name:PLATZNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DAVENPORT AVE
Mailing Address - Street 2:APT 1A
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-3623
Mailing Address - Country:US
Mailing Address - Phone:914-760-7011
Mailing Address - Fax:
Practice Address - Street 1:20 DAVENPORT AVE
Practice Address - Street 2:APT 1A
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-3623
Practice Address - Country:US
Practice Address - Phone:914-760-7011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)