Individual
ANDI DORA BROFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 CINEMA DRIVE, SUITE 119, SUITE 119, ITHACA, NY 14850
(607) 793-4260
Mailing address
103 LAFAYETTE AVE, GENEVA, NY 14456-1610
(716) 868-7191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P131763
NY
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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