Provider Demographics
NPI:1508580630
Name:DRANDOFF, DONIEL (LMFT)
Entity Type:Individual
Prefix:
First Name:DONIEL
Middle Name:
Last Name:DRANDOFF
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4625
Mailing Address - Country:US
Mailing Address - Phone:516-902-0396
Mailing Address - Fax:
Practice Address - Street 1:1168 BEACH 9TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4853
Practice Address - Country:US
Practice Address - Phone:516-902-3193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist