Provider Demographics
NPI:1396261780
Name:SAFYAN, MARGARITA E (LMHC)
Entity type:Individual
Prefix:MISS
First Name:MARGARITA
Middle Name:E
Last Name:SAFYAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 SURF AVE APT 18C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3420
Mailing Address - Country:US
Mailing Address - Phone:718-309-0707
Mailing Address - Fax:718-266-2397
Practice Address - Street 1:601 SURF AVE APT 18C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-3420
Practice Address - Country:US
Practice Address - Phone:718-309-0707
Practice Address - Fax:718-266-2397
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000756101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty