Provider Demographics
NPI:1972749240
Name:GRAFSTEIN, RINA REBECCA (PHD)
Entity Type:Individual
Prefix:DR
First Name:RINA
Middle Name:REBECCA
Last Name:GRAFSTEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:RINA
Other - Middle Name:REBECCA
Other - Last Name:POLONSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:280 MADISON AVE
Mailing Address - Street 2:RM 1004
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0808
Mailing Address - Country:US
Mailing Address - Phone:913-833-0632
Mailing Address - Fax:914-833-1175
Practice Address - Street 1:280 MADISON AVE
Practice Address - Street 2:RM 1004
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0808
Practice Address - Country:US
Practice Address - Phone:914-522-4936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009687-1101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health