Philip Henry Antz
Social Worker, Clinical in Moriches, NY. Individual provider (NPI-1).
NPI number1295035491
StatusActive
Last updated in NPPESOct 11, 2022
Details
- NPI
- 1295035491
- Entity type
- Individual (NPI-1)
- Name
- Mr. Philip Henry Antz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2010
- Certification date
- Oct 10, 2022
- Last updated
- Oct 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 081137 | NY | Yes |
| 104100000X | Social Worker | 081970 | NY |
Practice location
10 Emily CtMoriches, NY 11955-1817
Phone 631-680-8850
Mailing address
10 Emily CtMoriches, NY 11955-1817
Phone 631-680-8850
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All 6 Clinical Social Worker providers in Moriches · All 74 providers in Moriches
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