Provider Demographics
NPI:1437446556
Name:NEMIROFF, JARRET ANDREW (CASAP)
Entity Type:Individual
Prefix:
First Name:JARRET
Middle Name:ANDREW
Last Name:NEMIROFF
Suffix:
Gender:M
Credentials:CASAP
Other - Prefix:
Other - First Name:YOSEF
Other - Middle Name:
Other - Last Name:NEMIROFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:570 GRAND ST
Mailing Address - Street 2:APT. H-305
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4379
Mailing Address - Country:US
Mailing Address - Phone:718-689-1860
Mailing Address - Fax:
Practice Address - Street 1:570 GRAND ST
Practice Address - Street 2:APT. H-305
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4379
Practice Address - Country:US
Practice Address - Phone:718-689-1860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-10
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ102101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor