1649258104 NPI number — MS. ALICE CAROL GARFINKEL LCSW

Table of content: MS. ALICE CAROL GARFINKEL LCSW (NPI 1649258104)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649258104 NPI number — MS. ALICE CAROL GARFINKEL LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARFINKEL
Provider First Name:
ALICE
Provider Middle Name:
CAROL
Provider Name Prefix Text:
MS.
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:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649258104
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13-38 ROBIN LANE
Provider Second Line Business Mailing Address:
BAYBRIDGE CONDOS UNIT # 71L(1FL)
Provider Business Mailing Address City Name:
BAYSIDE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11360-1138
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-352-0038
Provider Business Mailing Address Fax Number:
718-352-0038

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
853 BROADWAY
Provider Second Line Business Practice Location Address:
STE 1501
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003-4703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-424-3545
Provider Business Practice Location Address Fax Number:
718-352-0038
Provider Enumeration Date:
01/05/2006

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:  R22633-1 , 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: 0092893 . This is a "GHI PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01492626 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 024308 . This is a "VMC PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P1660545 . This is a "OXFORD PROVIDER #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 108701 . This is a "MHN PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 120205 . This is a "COMPSYCH PROVIDER #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5479230 . This is a "AETNA PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6260548 . This is a "UBH PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: AG0N561420 . This is a "BLUE CROSS BLUE SHIELD PR" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: PVPB127718 . This is a "APS PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 113205 . This is a "VBH PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: R022633 . This is a "HIP PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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