Colin Brynan Sandler
Individual provider Active NPI Counselor · Garrison, NY
NPI 1366568313 · NPPES record last updated Jun 10, 2008
Key facts
- NPI
- 1366568313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 074287-1 (NY)
- Practice address
- 126 Putnam Rd
Garrison, NY 10524-7447 - Phone
- (845) 788-9114
- Fax
- (845) 788-9114
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074287-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 074287-1 | NY | Yes |
Addresses
Primary practice location
126 Putnam Rd
Garrison, NY 10524-7447
Mailing address
126 Putnam Rd
Garrison, NY 10524-7447
Phone (845) 788-9114
NPI Registry JSON
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1366568313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 PUTNAM RD",
"city": "GARRISON",
"state": "NY",
"postal_code": "105247447",
"telephone_number": "845-788-9114",
"fax_number": "845-788-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 PUTNAM RD",
"city": "GARRISON",
"state": "NY",
"postal_code": "105247447",
"telephone_number": "845-788-9114",
"fax_number": "845-788-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLER",
"first_name": "COLIN",
"middle_name": "BRYNAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "074287-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.