Provider Demographics
NPI:1912356403
Name:ZINSTEIN, MIRIAM NOA
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:NOA
Last Name:ZINSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MIRIAM
Other - Middle Name:NOA
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 MANOR DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2551
Mailing Address - Country:US
Mailing Address - Phone:917-207-1566
Mailing Address - Fax:
Practice Address - Street 1:12 MANOR DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2551
Practice Address - Country:US
Practice Address - Phone:917-207-1566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 707922163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse