Provider Demographics
NPI:1164578092
Name:DOVI, JOSEPH VINCENT (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:VINCENT
Last Name:DOVI
Suffix:
Gender:M
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:40 RADIO CIRCLE DR
Mailing Address - Street 2:STE 2
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-2624
Mailing Address - Country:US
Mailing Address - Phone:914-241-0106
Mailing Address - Fax:914-241-7263
Practice Address - Street 1:40 RADIO CIRCLE DR
Practice Address - Street 2:STE 2
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2624
Practice Address - Country:US
Practice Address - Phone:914-241-0106
Practice Address - Fax:914-241-7263
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005411-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQS482Q0SG1Medicare PIN
NY4772960002Medicare NSC