Provider Demographics
NPI:1477669588
Name:LEDNER, ALEXANDER ILAN (LCSW)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:ILAN
Last Name:LEDNER
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 1:285 COLUMBIA TER
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5609
Mailing Address - Country:US
Mailing Address - Phone:201-634-8655
Mailing Address - Fax:
Practice Address - Street 1:971 ROUTE 45
Practice Address - Street 2:SUITE 116
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3500
Practice Address - Country:US
Practice Address - Phone:845-354-9200
Practice Address - Fax:845-354-8555
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0485351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical