Provider Demographics
NPI:1003810334
Name:LANZKOWSKY, RHONA (MSW)
Entity type:Individual
Prefix:
First Name:RHONA
Middle Name:
Last Name:LANZKOWSKY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BOND ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2414
Mailing Address - Country:US
Mailing Address - Phone:516-487-0190
Mailing Address - Fax:516-487-0190
Practice Address - Street 1:141 E 55TH ST
Practice Address - Street 2:APT 6C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4032
Practice Address - Country:US
Practice Address - Phone:212-593-4882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0248121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NO5752Medicare ID - Type Unspecified
NYNO5751Medicare ID - Type Unspecified