Provider Demographics
NPI:1205849387
Name:NIR, DROR (MSW)
Entity Type:Individual
Prefix:MR
First Name:DROR
Middle Name:
Last Name:NIR
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 BROADWAY
Mailing Address - Street 2:APT. 16A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5800
Mailing Address - Country:US
Mailing Address - Phone:212-875-0426
Mailing Address - Fax:
Practice Address - Street 1:2250 BROADWAY
Practice Address - Street 2:APT. 16A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5800
Practice Address - Country:US
Practice Address - Phone:212-875-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR037860-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical