Provider Demographics
NPI:1689757395
Name:BANDLER, ARLEEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ARLEEN
Middle Name:
Last Name:BANDLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 N BROADWAY
Mailing Address - Street 2:UNIT #1
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960
Mailing Address - Country:US
Mailing Address - Phone:845-353-4194
Mailing Address - Fax:845-358-7109
Practice Address - Street 1:123 W 79TH ST
Practice Address - Street 2:SUITE LL5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-875-0695
Practice Address - Fax:845-358-7109
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0431511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP0321260OtherOXFORD
NY164538OtherVALUE OPTIONS
NY195401OtherMANAGED HEALTH NETWORK
NY02431854Medicaid
NY7493107OtherAENTA
NYR043151OtherHIP
NY02431854Medicaid
NYR043151OtherHIP