Provider Demographics
NPI:1023354537
Name:CHERTOK, HARRIET SIEGEL (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:HARRIET
Middle Name:SIEGEL
Last Name:CHERTOK
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2304
Mailing Address - Country:US
Mailing Address - Phone:516-313-7600
Mailing Address - Fax:212-202-7556
Practice Address - Street 1:70 GLEN COVE RD STE 201
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1730
Practice Address - Country:US
Practice Address - Phone:516-399-0477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health