Provider Demographics
NPI:1679985188
Name:KAY, NECHAMA (MSED)
Entity Type:Individual
Prefix:MRS
First Name:NECHAMA
Middle Name:
Last Name:KAY
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14419 77TH RD
Mailing Address - Street 2:APT B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3426
Mailing Address - Country:US
Mailing Address - Phone:646-675-2627
Mailing Address - Fax:
Practice Address - Street 1:14419 77TH RD
Practice Address - Street 2:APT B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3426
Practice Address - Country:US
Practice Address - Phone:347-721-1481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY411616101174400000X
NY411615101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist