Provider Demographics
NPI:1740518729
Name:PARMAR, INDIRA (LCSW)
Entity type:Individual
Prefix:
First Name:INDIRA
Middle Name:
Last Name:PARMAR
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 1:59 BELLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3712
Mailing Address - Country:US
Mailing Address - Phone:516-225-2945
Mailing Address - Fax:
Practice Address - Street 1:59 BELLWOOD DR
Practice Address - Street 2:
Practice Address - City:GARDEN CITY PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-3712
Practice Address - Country:US
Practice Address - Phone:516-225-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0466141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical