Provider Demographics
NPI:1407456734
Name:NIRENSTEIN, JOY (LCAT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:NIRENSTEIN
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:RADISH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:268 COURT ST APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-4441
Mailing Address - Country:US
Mailing Address - Phone:860-977-7972
Mailing Address - Fax:
Practice Address - Street 1:247 PROSPECT AVE STE 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-8403
Practice Address - Country:US
Practice Address - Phone:860-977-7972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002146221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist