Provider Demographics
NPI:1831247089
Name:MANN, HARVINDAR (LCSW)
Entity type:Individual
Prefix:MR
First Name:HARVINDAR
Middle Name:
Last Name:MANN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E 88TH ST APT 7A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-2273
Mailing Address - Country:US
Mailing Address - Phone:212-860-4046
Mailing Address - Fax:
Practice Address - Street 1:141 E 88TH ST APT 7A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-2273
Practice Address - Country:US
Practice Address - Phone:212-860-4046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR05538211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPEE161Medicare UPIN
NY41565AMedicare ID - Type Unspecified