Provider Demographics
NPI:1144604646
Name:HANNIFF, JEANNINE (MASTERS)
Entity Type:Individual
Prefix:MS
First Name:JEANNINE
Middle Name:
Last Name:HANNIFF
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:MS
Other - First Name:JEANNINE
Other - Middle Name:H
Other - Last Name:GUIDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MASTERS
Mailing Address - Street 1:21 LEE AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5210
Mailing Address - Country:US
Mailing Address - Phone:914-906-2403
Mailing Address - Fax:
Practice Address - Street 1:21 LEE AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5210
Practice Address - Country:US
Practice Address - Phone:914-906-2403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst