Individual
BAILE JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59-28 LITTLE NECK PARKWAY, LITTLE NECK, NY 11362
(718) 224-0566
(718) 224-7544
Mailing address
58 20 LITTLE NECK PKWY, LITTLE NECK, NY 11362-2530
(718) 224-0566
(718) 224-7544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R013565-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1382663
—
NY
Enumeration date
06/29/2006
Last updated
08/10/2016
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