Provider Demographics
NPI:1316185119
Name:KAUFMAN, RUTH (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 W END AVE
Mailing Address - Street 2:SUITE # 4B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7355
Mailing Address - Country:US
Mailing Address - Phone:212-595-4587
Mailing Address - Fax:
Practice Address - Street 1:650 W END AVE
Practice Address - Street 2:SUITE # 4B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7355
Practice Address - Country:US
Practice Address - Phone:212-595-4587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028345104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker