Healthcare Provider Details

I. General information

NPI: 1710164900
Provider Name (Legal Business Name): FARIDA RAMCHANDANI L.M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 04/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3584 JEROME AVE.
BRONX NY
10467
US

IV. Provider business mailing address

PO BOX 31094
HARTFORD CT
06150-1094
US

V. Phone/Fax

Practice location:
  • Phone: 718-653-1537
  • Fax: 718-882-1426
Mailing address:
  • Phone: 518-952-8140
  • Fax: 518-952-8287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number076456
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: