Provider Demographics
NPI:1568163491
Name:MARTINCAK, DANNI JO
Entity Type:Individual
Prefix:
First Name:DANNI JO
Middle Name:
Last Name:MARTINCAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 E 27TH ST APT 10F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9037
Mailing Address - Country:US
Mailing Address - Phone:786-897-8757
Mailing Address - Fax:
Practice Address - Street 1:145 E 27TH ST APT 10F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9037
Practice Address - Country:US
Practice Address - Phone:786-897-8757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist