Provider Demographics
NPI:1114170198
Name:KREMIN, JAMIE BETH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:BETH
Last Name:KREMIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:BETH
Other - Last Name:ALTERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:75 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1525
Mailing Address - Country:US
Mailing Address - Phone:516-660-9414
Mailing Address - Fax:516-224-4039
Practice Address - Street 1:300 GARDEN CITY PLZ
Practice Address - Street 2:SUITE 350
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-3302
Practice Address - Country:US
Practice Address - Phone:516-747-9030
Practice Address - Fax:516-877-0998
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013052-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist