Provider Demographics
NPI:1245906338
Name:ESHUN, SANDI-LYNN (MHC-LP)
Entity type:Individual
Prefix:
First Name:SANDI-LYNN
Middle Name:
Last Name:ESHUN
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MADISON SQ W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1627
Mailing Address - Country:US
Mailing Address - Phone:347-947-7082
Mailing Address - Fax:914-462-3671
Practice Address - Street 1:16 MADISON SQ W
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1627
Practice Address - Country:US
Practice Address - Phone:347-947-7082
Practice Address - Fax:914-462-3671
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health