Provider Demographics
NPI:1790860567
Name:GEFTER, STANISLAV (CASE ASSOCIATE)
Entity Type:Individual
Prefix:MR
First Name:STANISLAV
Middle Name:
Last Name:GEFTER
Suffix:
Gender:M
Credentials:CASE ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 W 32ND ST
Mailing Address - Street 2:APT.# 5D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1841
Mailing Address - Country:US
Mailing Address - Phone:718-769-5186
Mailing Address - Fax:
Practice Address - Street 1:3312 SURF AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1406
Practice Address - Country:US
Practice Address - Phone:718-372-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health