Provider Demographics
NPI:1245485234
Name:NEMIROFF, JOAN (MA OTR)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:NEMIROFF
Suffix:
Gender:F
Credentials:MA OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 W 76TH ST
Mailing Address - Street 2:APT. 9C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-8302
Mailing Address - Country:US
Mailing Address - Phone:212-496-2896
Mailing Address - Fax:212-496-7031
Practice Address - Street 1:175 W 76TH ST
Practice Address - Street 2:APT. 9C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-8302
Practice Address - Country:US
Practice Address - Phone:212-496-2896
Practice Address - Fax:212-496-7031
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001673-01225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics