Provider Demographics
NPI:1497842470
Name:RINKE, NOMI (DCSW)
Entity Type:Individual
Prefix:MS
First Name:NOMI
Middle Name:
Last Name:RINKE
Suffix:
Gender:F
Credentials:DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2712
Mailing Address - Country:US
Mailing Address - Phone:516-944-8883
Mailing Address - Fax:516-944-8290
Practice Address - Street 1:34 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-2712
Practice Address - Country:US
Practice Address - Phone:516-944-8883
Practice Address - Fax:516-944-8290
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR011575-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY092672OtherVALUE OPTIONS ID
NY14308OtherDCSW
NY0078479OtherGHI ID
NY14308OtherDCSW