Provider Demographics
NPI:1225232689
Name:PFEIFFER, RICHARD H (MDIV, PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:H
Last Name:PFEIFFER
Suffix:
Gender:M
Credentials:MDIV, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 COLUMBUS AVE
Mailing Address - Street 2:SUITE 9S
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6464
Mailing Address - Country:US
Mailing Address - Phone:212-662-0931
Mailing Address - Fax:212-749-7872
Practice Address - Street 1:750 COLUMBUS AVE
Practice Address - Street 2:SUITE 9S
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6464
Practice Address - Country:US
Practice Address - Phone:212-662-0931
Practice Address - Fax:212-749-7872
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJFI01491106H00000X
NY000500106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist