Provider Demographics
NPI:1023817533
Name:EINHORN, ANNABELLE LILY
Entity type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:LILY
Last Name:EINHORN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ADRIAN
Other - Middle Name:JOACHIM
Other - Last Name:EINHORN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1629 SUMMERFIELD ST APT 1L
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5704
Mailing Address - Country:US
Mailing Address - Phone:646-979-8065
Mailing Address - Fax:
Practice Address - Street 1:2 ASTOR PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-0088
Practice Address - Country:US
Practice Address - Phone:347-528-3567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1250471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical