Provider Demographics
NPI:1255759809
Name:SZULGIT, DAVID (LCSW-R)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SZULGIT
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-1007
Mailing Address - Country:US
Mailing Address - Phone:585-262-3320
Mailing Address - Fax:
Practice Address - Street 1:1415 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-1007
Practice Address - Country:US
Practice Address - Phone:585-262-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY729381041C0700X
NYR0729381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical