Provider Demographics
NPI:1144383589
Name:COLON, EDGAR (PHD,LCSW)
Entity Type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:
Last Name:COLON
Suffix:
Gender:M
Credentials:PHD,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2321
Mailing Address - Country:US
Mailing Address - Phone:914-202-7111
Mailing Address - Fax:914-202-7111
Practice Address - Street 1:136 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2321
Practice Address - Country:US
Practice Address - Phone:914-202-7111
Practice Address - Fax:914-202-7111
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical