Provider Demographics
NPI:1891057956
Name:GARCIA-SEDIGH, DANNA M (LCSWR)
Entity Type:Individual
Prefix:
First Name:DANNA
Middle Name:M
Last Name:GARCIA-SEDIGH
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8800
Mailing Address - Fax:914-734-8786
Practice Address - Street 1:503 S BROADWAY STE 210
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-6202
Practice Address - Country:US
Practice Address - Phone:914-965-9771
Practice Address - Fax:914-965-4724
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0729441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473038Medicaid