Provider Demographics
NPI:1093890543
Name:ADOLFF, KARIN M (PSY D)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:M
Last Name:ADOLFF
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 NORFOLK DR E
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4811
Mailing Address - Country:US
Mailing Address - Phone:718-544-4792
Mailing Address - Fax:718-228-8004
Practice Address - Street 1:107-05 70TH AVENUE
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4348
Practice Address - Country:US
Practice Address - Phone:718-544-4792
Practice Address - Fax:718-228-8004
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013730-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical