Provider Demographics
NPI:1891967865
Name:ALICE GARFINKEL LCSW PLLC
Entity Type:Organization
Organization Name:ALICE GARFINKEL LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:GARFINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-691-5677
Mailing Address - Street 1:1338 ROBIN LN
Mailing Address - Street 2:BAYBRIDGE CONDOS UNIT # 71L (1FL)
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1138
Mailing Address - Country:US
Mailing Address - Phone:917-691-5677
Mailing Address - Fax:718-352-0038
Practice Address - Street 1:11929 80TH RD
Practice Address - Street 2:KEW GARDENS CENTER FOR WELLNESS SUITE 2
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1105
Practice Address - Country:US
Practice Address - Phone:917-424-3545
Practice Address - Fax:718-352-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-30
Last Update Date:2008-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR22633-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty