Provider Demographics
NPI:1477694933
Name:GURFEIN, HADASSAH (PHD, APRN-BC)
Entity Type:Individual
Prefix:DR
First Name:HADASSAH
Middle Name:
Last Name:GURFEIN
Suffix:
Gender:F
Credentials:PHD, APRN-BC
Other - Prefix:DR
Other - First Name:JUDITH
Other - Middle Name:HADASSAH
Other - Last Name:GURFEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, APRN-BC
Mailing Address - Street 1:156 SHERWOOD PL
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-3611
Mailing Address - Country:US
Mailing Address - Phone:201-568-0843
Mailing Address - Fax:201-894-9930
Practice Address - Street 1:156 SHERWOOD PL
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3611
Practice Address - Country:US
Practice Address - Phone:201-568-0843
Practice Address - Fax:201-894-9930
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1738103T00000X
NY0565103T00000X
NYF400796-1363LP0808X
NJ363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV70001Medicare ID - Type UnspecifiedPSYCHOLOGIST
NJ080539Medicare ID - Type UnspecifiedNURSE PRACTITIONER
NJ091485Medicare ID - Type UnspecifiedPSYCHOLOGIST
NY0626G1Medicare ID - Type UnspecifiedNURSE PRACTITIONER