Provider Demographics
NPI:1831495548
Name:ALPERS, JOAN (LCAT)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:ALPERS
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 WOODHOLLOW RD
Mailing Address - Street 2:BOX 688
Mailing Address - City:GREAT RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11739-3000
Mailing Address - Country:US
Mailing Address - Phone:631-581-6280
Mailing Address - Fax:631-376-3717
Practice Address - Street 1:83 WOODHOLLOW RD
Practice Address - Street 2:BOX 688
Practice Address - City:GREAT RIVER
Practice Address - State:NY
Practice Address - Zip Code:11739-3000
Practice Address - Country:US
Practice Address - Phone:631-581-3183
Practice Address - Fax:631-376-3717
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000317221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist