| Doctor Name: | JOSHUA C FENDEL |
| NPI Number: | 1538181664 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. (SOCIAL WORK) |
| License Number: | LCSW R008493 |
| Business Practice Address: | 301 E Main St Centerport, NY - 117211439 |
| Business Phone Number: | 6313512940 |
| Business Fax Number: | 6318249369 |
| Mailing Address: | 53 Salem Ridge Dr, HUNTINGTON |
| State: | NY |
| Postal Code: | 117433018 |
| Phone Number: | 6313512940 |
| Fax Number: | 6313511105 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 11/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW R008493 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |