Provider Demographics
NPI:1518074434
Name:RAFMAN, SONDRA A (MSW LCSW BCD)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:A
Last Name:RAFMAN
Suffix:
Gender:F
Credentials:MSW LCSW BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 STARLING COURT
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-621-9373
Mailing Address - Fax:516-625-5716
Practice Address - Street 1:1025 NORTHERN BLVD
Practice Address - Street 2:STE 208
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576
Practice Address - Country:US
Practice Address - Phone:516-869-9123
Practice Address - Fax:516-625-5716
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR311951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN29521Medicare ID - Type Unspecified