Provider Demographics
NPI:1124570775
Name:MERINGOFF, JOANNA JANE (RN)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:JANE
Last Name:MERINGOFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 E 89TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7802
Mailing Address - Country:US
Mailing Address - Phone:917-597-7383
Mailing Address - Fax:
Practice Address - Street 1:522 E 89TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-7802
Practice Address - Country:US
Practice Address - Phone:917-597-7383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY345741-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse