Provider Demographics
NPI:1922387000
Name:CAFLISCH, JANE M (MA, MPHIL)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:M
Last Name:CAFLISCH
Suffix:
Gender:F
Credentials:MA, MPHIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 PINEHURST AVE APT 6L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1713
Mailing Address - Country:US
Mailing Address - Phone:301-509-0167
Mailing Address - Fax:
Practice Address - Street 1:92 PINEHURST AVE APT 6L
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-1713
Practice Address - Country:US
Practice Address - Phone:301-509-0167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program