Provider Demographics
NPI:1649258104
Name:GARFINKEL, ALICE CAROL (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:CAROL
Last Name:GARFINKEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13-38 ROBIN LANE
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:718-352-0038
Mailing Address - Fax:718-352-0038
Practice Address - Street 1:853 BROADWAY
Practice Address - Street 2:STE 1501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4703
Practice Address - Country:US
Practice Address - Phone:917-424-3545
Practice Address - Fax:718-352-0038
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR22633-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0092893OtherGHI PROVIDER#
NY01492626Medicaid
NY024308OtherVMC PROVIDER#
NYP1660545OtherOXFORD PROVIDER #
NY108701OtherMHN PROVIDER#
NY120205OtherCOMPSYCH PROVIDER #
NY5479230OtherAETNA PROVIDER#
NY6260548OtherUBH PROVIDER#
NYAG0N561420OtherBLUE CROSS BLUE SHIELD PR
NYPVPB127718OtherAPS PROVIDER#
NY113205OtherVBH PROVIDER#
NYR022633OtherHIP PROVIDER#
NYP1660545OtherOXFORD PROVIDER #
NYR022633OtherHIP PROVIDER#