Provider Demographics
NPI:1356451496
Name:BAUR, ARTHUR (LCSW)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:BAUR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 BERKELEY PL
Mailing Address - Street 2:APT. 4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3652
Mailing Address - Country:US
Mailing Address - Phone:718-636-1120
Mailing Address - Fax:
Practice Address - Street 1:13 E 37TH ST
Practice Address - Street 2:SUITE 5F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2821
Practice Address - Country:US
Practice Address - Phone:212-689-2671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR013210-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
N28571Medicare ID - Type Unspecified