Provider Demographics
NPI:1497036719
Name:KORNFELD, ANDI LYN (LMFT)
Entity Type:Individual
Prefix:
First Name:ANDI
Middle Name:LYN
Last Name:KORNFELD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E 23RD ST STE 900
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4546
Mailing Address - Country:US
Mailing Address - Phone:646-469-5000
Mailing Address - Fax:
Practice Address - Street 1:110 E 23RD ST STE 900
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4546
Practice Address - Country:US
Practice Address - Phone:646-725-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000942106H00000X, 102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst