Provider Demographics
NPI:1336788082
Name:GRIEF PIRNAK, ASHLEY NICOLE (LCAT, ATR-BC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:GRIEF PIRNAK
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NICOLE
Other - Last Name:GRIEF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCAT, ATR-BC
Mailing Address - Street 1:1725 BELLMORE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5528
Mailing Address - Country:US
Mailing Address - Phone:516-557-7813
Mailing Address - Fax:
Practice Address - Street 1:1725 BELLMORE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5528
Practice Address - Country:US
Practice Address - Phone:516-557-7813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-29
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002412221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist