Provider Demographics
NPI:1669538666
Name:COUNSELING & PSYCHOTHERAPY OF THROGGS NECK
Entity type:Organization
Organization Name:COUNSELING & PSYCHOTHERAPY OF THROGGS NECK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:KAWESCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-792-4178
Mailing Address - Street 1:3594 E TREMONT AVENUE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2032
Mailing Address - Country:US
Mailing Address - Phone:718-792-4178
Mailing Address - Fax:718-792-2496
Practice Address - Street 1:3594 E TREMONT AVENUE
Practice Address - Street 2:SUITE 210
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2032
Practice Address - Country:US
Practice Address - Phone:718-792-4178
Practice Address - Fax:718-792-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty