Provider Demographics
NPI:1013188580
Name:GINSBURG, AMY (BA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 S ADELAIDE AVE
Mailing Address - Street 2:UNIT 5K
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-1657
Mailing Address - Country:US
Mailing Address - Phone:908-227-8703
Mailing Address - Fax:
Practice Address - Street 1:123 S ADELAIDE AVE
Practice Address - Street 2:UNIT 5K
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-1657
Practice Address - Country:US
Practice Address - Phone:908-227-8703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist