Provider Demographics
NPI:1992202949
Name:TOAFF, MIRIAM CHAVA
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:CHAVA
Last Name:TOAFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4514 16TH AVE FL 4THE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1101
Mailing Address - Country:US
Mailing Address - Phone:718-407-7300
Mailing Address - Fax:
Practice Address - Street 1:4514 16TH AVE FL 4THE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1101
Practice Address - Country:US
Practice Address - Phone:718-407-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315754207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology