Provider Demographics
NPI:1346631686
Name:JEFFREY ENGEL LCSW
Entity Type:Organization
Organization Name:JEFFREY ENGEL LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-400-8717
Mailing Address - Street 1:430 E 86TH ST
Mailing Address - Street 2:STE 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6441
Mailing Address - Country:US
Mailing Address - Phone:917-400-8717
Mailing Address - Fax:917-432-0507
Practice Address - Street 1:430 E 86TH ST
Practice Address - Street 2:STE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6441
Practice Address - Country:US
Practice Address - Phone:917-400-8717
Practice Address - Fax:917-432-0507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR020768-1305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service