Provider Demographics
NPI:1205150679
Name:ANGELA MONTI FOX, LCSW PLLC
Entity type:Organization
Organization Name:ANGELA MONTI FOX, LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MONTI
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-519-1076
Mailing Address - Street 1:2753 BROADWAY
Mailing Address - Street 2:186
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2803
Mailing Address - Country:US
Mailing Address - Phone:646-519-1076
Mailing Address - Fax:212-362-5762
Practice Address - Street 1:276 RIVERSIDE DR
Practice Address - Street 2:11H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5204
Practice Address - Country:US
Practice Address - Phone:646-519-1076
Practice Address - Fax:212-362-5762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR059449-1302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1952437451OtherNPI
NYNG2743Medicare UPIN