1689036956 NPI number — LMSW COUNSELING ASSOCIATES OF NEW YORK

Table of content: MR. JAMES DONALD MACRAE LCSW (NPI 1336276286)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689036956 NPI number — LMSW COUNSELING ASSOCIATES OF NEW YORK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LMSW COUNSELING ASSOCIATES OF NEW YORK
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1689036956
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8515 MAIN ST
Provider Second Line Business Mailing Address:
APT # 8G
Provider Business Mailing Address City Name:
JAMAICA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11435-1879
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-733-6529
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
411 LAFAYETTE ST
Provider Second Line Business Practice Location Address:
SUITE 638
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003-7032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-733-6529
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2016

Additional Information

Authorized Official

Authorized Official Last Name:
DELHIWALA
Authorized Official First Name:
NIRAJ
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
646-733-6529

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  079598 , 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)





Copyright © 2007-2025 www.npivalidator.com