Doctor Name: | KHOVITA JAINARINE |
NPI Number: | 1013387513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 8974 162nd St Jamaica, NY - 114325011 |
Business Phone Number: | 7185262400 |
Business Fax Number: | |
Mailing Address: | 21620 Jamaica Ave, QUEENS VILLAGE |
State: | NY |
Postal Code: | 114282121 |
Phone Number: | 3475006219 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2015 |
NPI Last Update Date: | 09/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |