Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 9371 | NY |
N | 103TA0700X | Adult Development & Aging Psychologist | 9371 | NY |
Y | 103G00000X | Clinical Psychologist | 9371 | NY |
Y | 103TC0700X | Clinical Psychologist | 9371 | NY |
N | 103TP0814X | Psychoanalysis | 9371 | NY |
NPI | 1023252525 |
---|---|
Provider Name | Danielle Sylvie Knafo |
First Address | Great Neck, NY 11021-1416 |
Second Address | Great Neck, NY 11021-2423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2009 |
Last Update Date | 28/04/2009 |