Provider Demographics
NPI:1144582818
Name:ZAPHIRIS, JOANNE
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:ZAPHIRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 BERGEN ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-4010
Mailing Address - Country:US
Mailing Address - Phone:718-636-8142
Mailing Address - Fax:718-626-8142
Practice Address - Street 1:547 BERGEN ST APT 2C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-4010
Practice Address - Country:US
Practice Address - Phone:718-636-8142
Practice Address - Fax:718-626-8142
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168401871174400000X
NY168402871174400000X
NY630866951174400000X
NJ00922225174400000X
NJ00093075174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist