Healthcare Provider Details

I. General information

NPI: 1376384271
Provider Name (Legal Business Name): DAPHNA MICHAL ZIFFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 3RD AVE STE 402
BRONX NY
10455-4073
US

IV. Provider business mailing address

551 W 190TH ST
NEW YORK NY
10040-3560
US

V. Phone/Fax

Practice location:
  • Phone: 718-520-8000
  • Fax:
Mailing address:
  • Phone: 443-800-5628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: