Individual
ELLEN JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(646) 996-6405
Mailing address
401 E 74TH ST APT 14G, NEW YORK, NY 10021-3929
(646) 398-0212
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011506-1
NY
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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