Provider Demographics
NPI:1093143208
Name:COLANDREA, ANNMARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:COLANDREA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNMARIE
Other - Middle Name:
Other - Last Name:ZAMIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:10 ELM ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CORNWALL
Mailing Address - State:NY
Mailing Address - Zip Code:12518-1486
Mailing Address - Country:US
Mailing Address - Phone:845-288-2672
Mailing Address - Fax:
Practice Address - Street 1:10 ELM ST STE 1
Practice Address - Street 2:
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1486
Practice Address - Country:US
Practice Address - Phone:845-288-2672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-25
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0803451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical