Provider Demographics
NPI:1033657630
Name:LMSW COUNSELING ASSOCIATES OF NEW YORK PC
Entity Type:Organization
Organization Name:LMSW COUNSELING ASSOCIATES OF NEW YORK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:MR
Authorized Official - First Name:NIRAJ
Authorized Official - Middle Name:S
Authorized Official - Last Name:DELHIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-733-6529
Mailing Address - Street 1:1975 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2249
Mailing Address - Country:US
Mailing Address - Phone:646-733-6529
Mailing Address - Fax:646-774-0385
Practice Address - Street 1:8515 MAIN ST
Practice Address - Street 2:APT 8G
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-1879
Practice Address - Country:US
Practice Address - Phone:646-733-6529
Practice Address - Fax:646-774-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079598-1251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health