1063753069 NPI number — MS. ALLISON MARIE HINKE L.C.S.W.

Table of content: MS. ALLISON MARIE HINKE L.C.S.W. (NPI 1063753069)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063753069 NPI number — MS. ALLISON MARIE HINKE L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HINKE
Provider First Name:
ALLISON
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BEHRENS
Provider Other First Name:
ALLISON
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1063753069
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 DIVISION AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEVITTOWN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11756-2932
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-520-8350
Provider Business Mailing Address Fax Number:
516-520-8364

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 DIVISION AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEVITTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11756-2932
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-520-8350
Provider Business Practice Location Address Fax Number:
516-520-8364
Provider Enumeration Date:
03/15/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  070184 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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