Provider Demographics
NPI:1235347519
Name:SEN, PUSPITA
Entity Type:Individual
Prefix:MS
First Name:PUSPITA
Middle Name:
Last Name:SEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PUSPITA
Other - Middle Name:
Other - Last Name:SEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:2280 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084-9206
Mailing Address - Country:US
Mailing Address - Phone:518-456-5056
Mailing Address - Fax:
Practice Address - Street 1:2280 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:GUILDERLAND
Practice Address - State:NY
Practice Address - Zip Code:12084-9206
Practice Address - Country:US
Practice Address - Phone:518-456-5056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000727101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health