Individual
DR. PAULETTE KOUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
220 E 23RD ST, SUITE 400, NEW YORK, NY 10010-4606
(718) 593-7717
(212) 725-1790
Mailing address
50 BRIGHTON FIRST RD., APT. 16D, BROOKLYN, NY 11235
(718) 593-7717
(212) 725-1790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0153141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480731
VALUE OPTIONS PIN
NY
01
—
P3244570
OXFORD INS. PIN
NY
Enumeration date
03/09/2007
Last updated
07/08/2007
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