Provider Demographics
NPI:1417105222
Name:SCHAFROTH, GINA E (MSW)
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:E
Last Name:SCHAFROTH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 BERNE ROAD
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3113
Mailing Address - Country:US
Mailing Address - Phone:516-783-0855
Mailing Address - Fax:
Practice Address - Street 1:3715 BERNE RD
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3113
Practice Address - Country:US
Practice Address - Phone:516-783-0855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker