1285937433 NPI number — LORRAINE ADLER LCSW

Table of content: LORRAINE ADLER LCSW (NPI 1285937433)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285937433 NPI number — LORRAINE ADLER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADLER
Provider First Name:
LORRAINE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KAVANAGH
Provider Other First Name:
LORRAINE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285937433
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/09/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3424 KOSSUTH AVENUE 14A04
Provider Second Line Business Mailing Address:
NORTH CENTRAL BRONX HOSPITAL
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10464
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-519-4798
Provider Business Mailing Address Fax Number:
718-515-3634

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3424 KOSSUTH AVENUE
Provider Second Line Business Practice Location Address:
14A04
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10464
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-519-4798
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/09/2010

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:  R034698-1 , 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)





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