Provider Demographics
NPI:1275913675
Name:GIUFFRA, MARY (RN CS, LMFT)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:
Last Name:GIUFFRA
Suffix:
Gender:F
Credentials:RN CS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HAWTHORNE RD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3211
Mailing Address - Country:US
Mailing Address - Phone:914-793-1487
Mailing Address - Fax:
Practice Address - Street 1:8 HAWTHORNE RD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3211
Practice Address - Country:US
Practice Address - Phone:914-793-1487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000222-1106H00000X
NY1373121-1 (88822)163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist