NPI
Philip Joachim Antz
NPI 1134290521
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- LCSW
- Type
- Individual
- Enumeration date
- 2006-11-10
- Last updated
- 2007-07-08
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Specialties
Licenses
- License NY
- R-040389-1
Location
- Practice location
- 470 Starlight Dr
- City
- Shirley NY
- Postal code
- 11967-1221
- Phone
- (631) 345-6310
- Fax
- (631) 775-6601
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Clinical Social Workers in Shirley, NY. 26 with this primary taxonomy in the public file.
Other NPIs in Shirley, NY. 498 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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