Provider Demographics
NPI:1114395704
Name:EINBINDER, EDWARD ROSS (LMSW)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:ROSS
Last Name:EINBINDER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E 85TH ST
Mailing Address - Street 2:26D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0958
Mailing Address - Country:US
Mailing Address - Phone:917-734-7231
Mailing Address - Fax:
Practice Address - Street 1:303 5TH AVE
Practice Address - Street 2:1407
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6601
Practice Address - Country:US
Practice Address - Phone:212-213-8905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-13
Last Update Date:2015-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094417101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)