Provider Demographics
NPI:1033427042
Name:POSTER LEDERMAN, JOYCE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:POSTER LEDERMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CABRINI BLVD APT 37
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3429
Mailing Address - Country:US
Mailing Address - Phone:212-877-7577
Mailing Address - Fax:212-877-7577
Practice Address - Street 1:25 CENTRAL PARK W
Practice Address - Street 2:SUITE I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7253
Practice Address - Country:US
Practice Address - Phone:212-877-7577
Practice Address - Fax:212-877-7577
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-24
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0308421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400086844Medicare PIN
NYA300095848Medicare PIN