Provider Demographics
NPI:1861820854
Name:KANFER, ELLEN (MSED)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:KANFER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 SHARI LN
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4618
Mailing Address - Country:US
Mailing Address - Phone:516-538-4196
Mailing Address - Fax:
Practice Address - Street 1:858 SHARI LN
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-4618
Practice Address - Country:US
Practice Address - Phone:516-538-4196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist