Provider Demographics
NPI:1053522524
Name:KOFF, NANCY (MFT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:KOFF
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 E BAY DR
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-2409
Mailing Address - Country:US
Mailing Address - Phone:516-431-6928
Mailing Address - Fax:516-431-6928
Practice Address - Street 1:1918 BELLMORE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5641
Practice Address - Country:US
Practice Address - Phone:516-431-6928
Practice Address - Fax:516-431-6928
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist