Basic Information
Provider Information
NPI: 1235255720
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARTOLOMEI
FirstName: SADYE
MiddleName: ANNETTE
NamePrefix: MRS.
NameSuffix:  
Credential: L.C.S.W.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4278 KEPLER AVE
Address2:  
City: BRONX
State: NY
PostalCode: 104702100
CountryCode: US
TelephoneNumber: 9143250396
FaxNumber:  
Practice Location
Address1: 300 N BROADWAY
Address2:  
City: SLEEPY HOLLOW
State: NY
PostalCode: 105912370
CountryCode: US
TelephoneNumber: 9146314141
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/22/2007
LastUpdateDate: 01/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XR037216-1 Y Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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