Provider Demographics
NPI:1285072561
Name:ERDMAN, ANDREW LEE (LCSW)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:LEE
Last Name:ERDMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 GREYSTONE AVE.
Mailing Address - Street 2:#6P
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463
Mailing Address - Country:US
Mailing Address - Phone:347-581-3618
Mailing Address - Fax:
Practice Address - Street 1:481 EIGHTH AVE.
Practice Address - Street 2:SUITE 520
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:347-581-3618
Practice Address - Fax:917-677-7218
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker