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Provider Information for 1699829085

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JACQUELINE H DRYFOOS LCSW

Other Name:   JACQUELINE GREENSPON
Gender: FEMALE

Individual NPI: 1699829085

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1699829085
Enumeration Date 2007-01-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 775 PARK AVE
NYC, NY 10021-3554
United States

Phone: 212-570-6577 | Fax: 212-737-7837
View Map External Link
Primary Practice Address 200 WEST 57 SUITE 205
NYC, NY 10019-3211
United States

Phone: 212-757-3490 | Fax: 212-737-7837
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other NY STATE LICENSE # NY PRO16599 1
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1041C0700X - Social Worker Clinical NY PRO 16599 1