Provider Demographics
NPI:1366028243
Name:SOFIA RIFFAUD MARRIAGE AND FAMILY THERAPY, PLLC
Entity Type:Organization
Organization Name:SOFIA RIFFAUD MARRIAGE AND FAMILY THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOFIA
Authorized Official - Middle Name:ALLEGRA
Authorized Official - Last Name:RIFFAUD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:516-457-6711
Mailing Address - Street 1:223 WALL ST # 269
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2060
Mailing Address - Country:US
Mailing Address - Phone:516-418-6715
Mailing Address - Fax:
Practice Address - Street 1:223 WALL ST # 269
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2060
Practice Address - Country:US
Practice Address - Phone:516-418-6715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty