Provider Demographics
NPI:1851511364
Name:KAUFER, JOHN JERRY (SW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:JERRY
Last Name:KAUFER
Suffix:
Gender:M
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11150 75TH RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6332
Mailing Address - Country:US
Mailing Address - Phone:718-665-7565
Mailing Address - Fax:718-665-7595
Practice Address - Street 1:JEROME BELSON HHC
Practice Address - Street 2:245 E. 149TH STREET
Practice Address - City:BRONX,
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-665-7565
Practice Address - Fax:718-665-2319
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0698871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical