Provider Demographics
NPI:1770914129
Name:KAFF, FAIGY (MADE)
Entity type:Individual
Prefix:
First Name:FAIGY
Middle Name:
Last Name:KAFF
Suffix:
Gender:F
Credentials:MADE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 SKILLMAN ST APT 7B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2960
Mailing Address - Country:US
Mailing Address - Phone:718-522-5367
Mailing Address - Fax:
Practice Address - Street 1:95 SKILLMAN ST APT 7B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-2960
Practice Address - Country:US
Practice Address - Phone:718-522-5367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency