Provider Demographics
NPI:1689110132
Name:PINTZOV, ADEE (MS CGC)
Entity Type:Individual
Prefix:
First Name:ADEE
Middle Name:
Last Name:PINTZOV
Suffix:
Gender:F
Credentials:MS CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 GARFIELD PL
Mailing Address - Street 2:APT 3J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2181
Mailing Address - Country:US
Mailing Address - Phone:347-303-6119
Mailing Address - Fax:
Practice Address - Street 1:195 GARFIELD PL
Practice Address - Street 2:APT 3J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-2181
Practice Address - Country:US
Practice Address - Phone:347-303-6119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14288170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS