Provider Demographics
NPI:1770636813
Name:ORZUCHOWSKI, HELEN MCLOUGHLIN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:MCLOUGHLIN
Last Name:ORZUCHOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:MCLOUGHLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACSW
Mailing Address - Street 1:201 E 28TH ST
Mailing Address - Street 2:APT 6F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8538
Mailing Address - Country:US
Mailing Address - Phone:212-685-0861
Mailing Address - Fax:212-685-0861
Practice Address - Street 1:201 E 28TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8538
Practice Address - Country:US
Practice Address - Phone:212-532-3538
Practice Address - Fax:212-685-0861
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR013602-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP1258233OtherOXFORD
NY0083009OtherVALUE OPTIONS BEHAVIORAL
NY4641990OtherAETNA HEALTH CARE
R45886Medicare UPIN
NYN15941Medicare ID - Type Unspecified