Provider Demographics
NPI:1316230634
Name:DUNCAN-CARNESCIALI, JOANNE (RCEP)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:
Last Name:DUNCAN-CARNESCIALI
Suffix:
Gender:F
Credentials:RCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W 56TH ST
Mailing Address - Street 2:APARTMENT 9N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3841
Mailing Address - Country:US
Mailing Address - Phone:917-494-7215
Mailing Address - Fax:
Practice Address - Street 1:146 W 57TH ST
Practice Address - Street 2:APARTMENT 61A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3301
Practice Address - Country:US
Practice Address - Phone:212-757-2459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1019134224Y00000X
IL21510482101Y00000X
IL24366174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist
No174H00000XOther Service ProvidersHealth Educator