PHILIP JOACHIM ANTZ

SHIRLEY, NY
NPI1134290521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R-040389-1)
Enumeration Date2006-11-10
Last Update Date2007-07-08
Business Address
Mr. PHILIP JOACHIM ANTZ LCSW
470 STARLIGHT DR
SHIRLEY, NY 11967-1221
Phone number: 631-345-6310
Mailing Address
Mr. PHILIP JOACHIM ANTZ LCSW
470 STARLIGHT DR
SHIRLEY, NY 11967-1221
Phone number: 631-345-6310