Provider Demographics
NPI:1740632330
Name:CHANA PFEIFER LCSWR
Entity type:Organization
Organization Name:CHANA PFEIFER LCSWR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:MALKA
Authorized Official - Last Name:PFEIFER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:516-592-1107
Mailing Address - Street 1:422 BERRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2508
Mailing Address - Country:US
Mailing Address - Phone:516-592-1107
Mailing Address - Fax:516-833-5979
Practice Address - Street 1:422 BERRYWOOD CT
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2508
Practice Address - Country:US
Practice Address - Phone:516-592-1107
Practice Address - Fax:516-833-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055811261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health