Healthcare Provider Details

I. General information

NPI: 1780048405
Provider Name (Legal Business Name): ELIZABETH VAN DE GRAAF JANOFSKY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38B GROVE ST
RIDGEFIELD CT
06877-4665
US

IV. Provider business mailing address

400 COLUMBUS AVE STE 200E
VALHALLA NY
10595-1392
US

V. Phone/Fax

Practice location:
  • Phone: 203-438-9557
  • Fax:
Mailing address:
  • Phone: 203-438-9557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number71779
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number71779
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: