Provider Demographics
NPI:1790223089
Name:KAUFMAN, YONINA (LMSW, MS ED)
Entity Type:Individual
Prefix:
First Name:YONINA
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LMSW, MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1539 RYDER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3505
Mailing Address - Country:US
Mailing Address - Phone:917-535-2796
Mailing Address - Fax:
Practice Address - Street 1:1539 RYDER ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3505
Practice Address - Country:US
Practice Address - Phone:917-535-2796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1073700252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency