Provider Demographics
NPI:1144525585
Name:GAFNI, NINA YAFFA (DPT)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:YAFFA
Last Name:GAFNI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6959 136TH ST
Mailing Address - Street 2:APT 1B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1955
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6959 136TH ST
Practice Address - Street 2:APT 1B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1955
Practice Address - Country:US
Practice Address - Phone:516-375-0896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-16
Last Update Date:2011-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0333552251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics