Provider Demographics
NPI:1689945669
Name:ALAN WINDER PSYCHOLOGICAL SERVICES PC
Entity Type:Organization
Organization Name:ALAN WINDER PSYCHOLOGICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-751-7254
Mailing Address - Street 1:7 STERLING PL
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-2414
Mailing Address - Country:US
Mailing Address - Phone:917-751-7254
Mailing Address - Fax:866-575-1763
Practice Address - Street 1:7 STERLING PL
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-2414
Practice Address - Country:US
Practice Address - Phone:917-751-7254
Practice Address - Fax:866-575-1763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty