Provider Demographics
NPI:1548802770
Name:CHRISTOPHER BANDINI, INC
Entity Type:Organization
Organization Name:CHRISTOPHER BANDINI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDINI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:347-581-5953
Mailing Address - Street 1:303 5TH AVE RM 1703
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6641
Mailing Address - Country:US
Mailing Address - Phone:347-581-5953
Mailing Address - Fax:
Practice Address - Street 1:303 5TH AVE RM 1703
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6641
Practice Address - Country:US
Practice Address - Phone:347-581-5953
Practice Address - Fax:718-499-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health