Provider Demographics
NPI:1093132136
Name:NUNEZ, JOANN MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:MARIE
Last Name:NUNEZ
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 1:104-20 QUEENS BOULEVARD
Mailing Address - Street 2:APT 10A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3629
Mailing Address - Country:US
Mailing Address - Phone:845-625-3258
Mailing Address - Fax:
Practice Address - Street 1:530 SEVENTH AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4878
Practice Address - Country:US
Practice Address - Phone:218-840-3030
Practice Address - Fax:218-840-3063
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist