Healthcare Provider Details

I. General information

NPI: 1124957196
Provider Name (Legal Business Name): ANDREA DOGOSTIANO LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SADORE LN APT 4T
YONKERS NY
10710-4770
US

IV. Provider business mailing address

3 SADORE LN APT 4T
YONKERS NY
10710-4770
US

V. Phone/Fax

Practice location:
  • Phone: 646-284-8808
  • Fax:
Mailing address:
  • Phone: 646-284-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANDREA DOGOSTIANO ANDREA DOGOSTIANO
Title or Position: OWNER
Credential: LCSW
Phone: 646-284-8808