Healthcare Provider Details

I. General information

NPI: 1538490743
Provider Name (Legal Business Name): JENNIFER B LUFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 WEST ST
CANANDAIGUA NY
14424-1722
US

IV. Provider business mailing address

14 PLEASANT ST
SENECA FALLS NY
13148-1320
US

V. Phone/Fax

Practice location:
  • Phone: 315-730-2741
  • Fax: 585-394-1257
Mailing address:
  • Phone: 315-730-2741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number005655
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: