Provider Demographics
NPI:1265045744
Name:DRAPKIN, JENNIFER A (PHD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:DRAPKIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 W 71ST ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4024
Mailing Address - Country:US
Mailing Address - Phone:347-351-7353
Mailing Address - Fax:
Practice Address - Street 1:136 W 71ST ST APT 4F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4024
Practice Address - Country:US
Practice Address - Phone:347-351-7353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023814103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical