Provider Demographics
NPI:1841591088
Name:CRAWFORD, ARJON (SOCIAL WORK INTERN)
Entity Type:Individual
Prefix:
First Name:ARJON
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:SOCIAL WORK INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W91ST STREET
Mailing Address - Street 2:GODDARD RIVERSIDE DAY CARE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:114 W 91ST ST
Practice Address - Street 2:GODDARD RIVERSIDE DAY CARE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1302
Practice Address - Country:US
Practice Address - Phone:917-369-0874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker