Provider Demographics
NPI:1578772117
Name:SINDONI, ROBERT VINCENT (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:VINCENT
Last Name:SINDONI
Suffix:
Gender:M
Credentials:LCSW, PHD
Other - Prefix:DR
Other - First Name:BOB
Other - Middle Name:
Other - Last Name:SINDONI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, PHD
Mailing Address - Street 1:55 S BROADWAY
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-4000
Mailing Address - Country:US
Mailing Address - Phone:914-631-7690
Mailing Address - Fax:914-631-7691
Practice Address - Street 1:55 S BROADWAY
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-4000
Practice Address - Country:US
Practice Address - Phone:914-631-7690
Practice Address - Fax:914-631-7691
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC011735001041C0700X
NYR0464701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical