Provider Demographics
NPI:1154496636
Name:SANDI, MARIAMA K (MSED, SCHOOL PSYCH)
Entity Type:Individual
Prefix:MS
First Name:MARIAMA
Middle Name:K
Last Name:SANDI
Suffix:
Gender:F
Credentials:MSED, SCHOOL PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 E 131ST ST
Mailing Address - Street 2:APT. 5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-3434
Mailing Address - Country:US
Mailing Address - Phone:212-234-2082
Mailing Address - Fax:
Practice Address - Street 1:17 E 131ST ST
Practice Address - Street 2:APT. 5B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-3434
Practice Address - Country:US
Practice Address - Phone:212-234-2082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003388101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003388OtherMENTAL HEALTH COUNSELOR