Provider Demographics
NPI:1801018700
Name:FINK, JUDY SANDRA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:SANDRA
Last Name:FINK
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:WESTCHESTER JEWISH COMMUNITY SERVICES
Mailing Address - Street 2:845 NORTH BROADWAY
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603
Mailing Address - Country:US
Mailing Address - Phone:914-761-0600
Mailing Address - Fax:914-761-5859
Practice Address - Street 1:WESTCHESTER JEWISH COMMUNITY SERVICES
Practice Address - Street 2:845 NORTH BROADWAY
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603
Practice Address - Country:US
Practice Address - Phone:914-761-0600
Practice Address - Fax:914-761-5859
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR017308-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN783Z1Medicare ID - Type UnspecifiedMEDICARE PROVIDER #