Healthcare Provider Details

I. General information

NPI: 1104848779
Provider Name (Legal Business Name): ELAINE APTER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 SKYLARK DR
SPRING VALLEY NY
10977-1310
US

IV. Provider business mailing address

8 SKYLARK DR
SPRING VALLEY NY
10977-1310
US

V. Phone/Fax

Practice location:
  • Phone: 845-354-0139
  • Fax: 845-354-0139
Mailing address:
  • Phone: 845-354-0139
  • Fax: 845-354-0139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number041881-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierP3605772
Identifier TypeOTHER
Identifier State
Identifier IssuerOXFORD HEALTH
# 2
IdentifierNO474
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerEMPIREBLUECROSSBLESHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: