Provider Demographics
NPI:1518125863
Name:ZUCKER, JOY SIEGEL (COTA)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:SIEGEL
Last Name:ZUCKER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9745 QUEENS BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2108
Mailing Address - Country:US
Mailing Address - Phone:718-830-9274
Mailing Address - Fax:718-830-0761
Practice Address - Street 1:9745 QUEENS BLVD STE 900
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2108
Practice Address - Country:US
Practice Address - Phone:718-830-9274
Practice Address - Fax:718-830-0761
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002920224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant