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Individual

ANNA SANDBANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
35 DOCK ST, ANDRUS CHILDREN'S CENTER MENTAL HEALTH DIVISION, YONKERS, NY 10701-2733
(914) 966-1109
(914) 965-9705
Mailing address
1156 N BROADWAY, ANDRUS CHILDREN'S CENTER, YONKERS, NY 10701-1108
(914) 965-3700
(914) 965-3883

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075420
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00355940
NY
01
075420
NYS LICENSE NUMBER
NY
01
1285628552
AGENCY NPI NUMBER
NY
Enumeration date
10/06/2006
Last updated
07/09/2007
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