Provider Demographics
NPI:1841209004
Name:ALFANO, CINDI F (LMHC, LBA)
Entity type:Individual
Prefix:
First Name:CINDI
Middle Name:F
Last Name:ALFANO
Suffix:
Gender:F
Credentials:LMHC, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BARCLAY ST APT 17K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-0116
Mailing Address - Country:US
Mailing Address - Phone:347-525-6886
Mailing Address - Fax:
Practice Address - Street 1:3094 45TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-1849
Practice Address - Country:US
Practice Address - Phone:347-525-6886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000748-1101YM0800X
NY000462103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health