Justin Donofrio, LCSW
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1669920534
StatusActive
Last updated in NPPESOct 14, 2019
Details
- NPI
- 1669920534
- Entity type
- Individual (NPI-1)
- Name
- Mr. Justin Donofrio
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2016
- Last updated
- Oct 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 084439-1 | NY | Yes |
Practice location
928 Broadway, Ste 400New York, NY 10010-3055
Phone 646-820-0603
Mailing address
347 W 55th St Apt 4hNew York, NY 10019-4516
Phone 347-256-3996
Other practice locations
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