Doctor Name: | JEFFREY DAVIDOFF |
NPI Number: | 1134542863 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 090048-1 |
Business Practice Address: | 300 Starr Ridge Rd Brewster, NY - 105094629 |
Business Phone Number: | 8452164867 |
Business Fax Number: | |
Mailing Address: | 300 Starr Ridge Rd, BREWSTER |
State: | NY |
Postal Code: | 105094629 |
Phone Number: | 8452164867 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2014 |
NPI Last Update Date: | 01/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 090048-1 |
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 |