Provider Demographics
NPI:1902043177
Name:LINDA PLASTRIK, LCSW, PLLC
Entity Type:Organization
Organization Name:LINDA PLASTRIK, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLASTRIK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-631-6342
Mailing Address - Street 1:ONE CENTRAL AVENUE
Mailing Address - Street 2:ROOM 310
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3301
Mailing Address - Country:US
Mailing Address - Phone:914-631-6342
Mailing Address - Fax:914-631-6342
Practice Address - Street 1:ONE CENTRAL AVENUE
Practice Address - Street 2:ROOM 310
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-3301
Practice Address - Country:US
Practice Address - Phone:914-631-6342
Practice Address - Fax:914-631-6342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR042688-1261QM0801X
NJ44SC05323800261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)