Doctor Name: | JULIE A BUFFINGTON |
NPI Number: | 1063629731 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R024138 |
Business Practice Address: | 48 Burd St Rm 207 Nyack, NY - 10960 |
Business Phone Number: | 8453584787 |
Business Fax Number: | 8453530548 |
Mailing Address: | 48 Burd St, Rm 207 NYACK |
State: | NY |
Postal Code: | 10960 |
Phone Number: | 8453584787 |
Fax Number: | 8453530548 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R024138 |
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 |