Provider Demographics
NPI:1689407397
Name:SARRYEH, DALIA (LCSW)
Entity type:Individual
Prefix:
First Name:DALIA
Middle Name:
Last Name:SARRYEH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WOODBINE CT APT 7
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2754
Mailing Address - Country:US
Mailing Address - Phone:516-467-9554
Mailing Address - Fax:
Practice Address - Street 1:40 WOODBINE CT APT 7
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2754
Practice Address - Country:US
Practice Address - Phone:516-467-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097610-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical