Provider Demographics
NPI:1861629875
Name:SAROSI, ELIZABETH CRISTINA (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CRISTINA
Last Name:SAROSI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:CRISTINA
Other - Last Name:DIAZ-CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:200 E END AVE
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7831
Mailing Address - Country:US
Mailing Address - Phone:917-400-7007
Mailing Address - Fax:
Practice Address - Street 1:200 E END AVE
Practice Address - Street 2:SUITE 3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-7831
Practice Address - Country:US
Practice Address - Phone:917-400-7007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73 0756291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical