Provider Demographics
NPI:1225263569
Name:SINHA, GNANENDRA S (LMSW,ACSW)
Entity Type:Individual
Prefix:
First Name:GNANENDRA
Middle Name:S
Last Name:SINHA
Suffix:
Gender:M
Credentials:LMSW,ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 S 12TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4930
Mailing Address - Country:US
Mailing Address - Phone:516-437-1299
Mailing Address - Fax:516-437-1299
Practice Address - Street 1:26 S 12TH ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4930
Practice Address - Country:US
Practice Address - Phone:516-437-1299
Practice Address - Fax:516-437-1299
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2148394741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical