Provider Demographics
NPI:1811197858
Name:SEMENZA, JOAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:
Last Name:SEMENZA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 JOHN ALDEN RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1411
Mailing Address - Country:US
Mailing Address - Phone:914-636-3354
Mailing Address - Fax:914-636-3354
Practice Address - Street 1:10 JOHN ALDEN RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-1411
Practice Address - Country:US
Practice Address - Phone:914-636-3354
Practice Address - Fax:914-636-3354
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177159163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse