Provider Demographics
NPI:1508943721
Name:CARMI, GIORA (MA, ATR-BC, LCAT)
Entity Type:Individual
Prefix:MR
First Name:GIORA
Middle Name:
Last Name:CARMI
Suffix:
Gender:M
Credentials:MA, ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 W 113TH ST
Mailing Address - Street 2:#2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-8080
Mailing Address - Country:US
Mailing Address - Phone:212-662-7604
Mailing Address - Fax:212-662-7604
Practice Address - Street 1:530 W 113TH ST
Practice Address - Street 2:#2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-8080
Practice Address - Country:US
Practice Address - Phone:212-662-7604
Practice Address - Fax:212-662-7604
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000456-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist