Basic Information
Provider Information
NPI: 1376752386
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARDONA-LEMANSKI
FirstName: MARIA
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CARDONA-LEMANSKI
OtherFirstName: MARIA
OtherMiddleName: D
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: 1276 FULTON AVE
Address2: BLHC- DEPARTMENT OF PSYCHIATRY 8TH FLOOR AOPD1
City: BRONX
State: NY
PostalCode: 104563402
CountryCode: US
TelephoneNumber: 7189016492
FaxNumber: 7189016490
Practice Location
Address1: 1276 FULTON AVE FL 8
Address2:  
City: BRONX
State: NY
PostalCode: 104563402
CountryCode: US
TelephoneNumber: 7189018440
FaxNumber: 7189016492
Other Information
ProviderEnumerationDate: 05/22/2007
LastUpdateDate: 06/20/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X  Y Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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