Provider Demographics
NPI:1396083614
Name:MANHATTAN COUNSELING LCSW PC
Entity type:Organization
Organization Name:MANHATTAN COUNSELING LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NIRAJ
Authorized Official - Middle Name:SHYAMKISHOR
Authorized Official - Last Name:DELHIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-733-6529
Mailing Address - Street 1:8515 MAIN ST
Mailing Address - Street 2:SUITE. 8G
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1879
Mailing Address - Country:US
Mailing Address - Phone:646-733-6529
Mailing Address - Fax:646-774-0385
Practice Address - Street 1:411 LAFAYETTE ST
Practice Address - Street 2:SUITE # 638
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-7032
Practice Address - Country:US
Practice Address - Phone:646-733-6529
Practice Address - Fax:646-774-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-21
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079598-1251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health