1174180087 NPI number — MS. ANA ALONGI LMSW

Table of content: MS. ANA ALONGI LMSW (NPI 1174180087)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174180087 NPI number — MS. ANA ALONGI LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALONGI
Provider First Name:
ANA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
IVIC
Provider Other First Name:
ANA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1174180087
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
135 MERCER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARTSDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10530-1924
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-319-5245
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6214 RIVERDALE AVE # 1A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10471-1032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-319-5245
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2019

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: 104100000X , with the licence number:  103005-1 , 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)

  • Identifier: 103005-1 . This is a "NASW" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".