Provider Demographics
NPI:1922076017
Name:AARON, DANIEL (LCSW, PHD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:AARON
Suffix:
Gender:M
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 BROADWAY
Mailing Address - Street 2:SUITE 1R
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-2331
Mailing Address - Country:US
Mailing Address - Phone:914-478-7740
Mailing Address - Fax:
Practice Address - Street 1:2600 NETHERLAND AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4801
Practice Address - Country:US
Practice Address - Phone:718-432-0629
Practice Address - Fax:914-921-3167
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0203391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY274309OtherMHN
NY0037187OtherGHI
NYR020339OtherHIP
NY146893OtherVALUE OPTIONS
NY0037187OtherGHI