Provider Demographics
NPI:1881746162
Name:MUHAMMAD, EDNA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EDNA
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:545 SOUTH ST
Mailing Address - Street 2:#PH
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-3225
Mailing Address - Country:US
Mailing Address - Phone:914-804-4812
Mailing Address - Fax:212-939-4609
Practice Address - Street 1:506 LENOX AVENUE 135TH STREET
Practice Address - Street 2:HARLEM HOSPITAL MLK PAVILION 6TH FLOOR, ROOM 6111
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-4600
Practice Address - Fax:212-939-4609
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0713201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical