Provider Demographics
NPI:1619243565
Name:GRINKORN, HANNAH (OTR/L, BCP)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:
Last Name:GRINKORN
Suffix:
Gender:F
Credentials:OTR/L, BCP
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:GRINKORN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2729 MILL AVENUE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234
Mailing Address - Country:US
Mailing Address - Phone:917-826-9267
Mailing Address - Fax:
Practice Address - Street 1:345 VAN SICKLEN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3830
Practice Address - Country:US
Practice Address - Phone:718-449-5050
Practice Address - Fax:718-449-3047
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0057811225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist