Provider Demographics
NPI:1740693597
Name:SEMMEL, HENNA (BS/MS)
Entity type:Individual
Prefix:
First Name:HENNA
Middle Name:
Last Name:SEMMEL
Suffix:
Gender:F
Credentials:BS/MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147-41 76TH AVE. APT 1F
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367
Mailing Address - Country:US
Mailing Address - Phone:917-683-1560
Mailing Address - Fax:
Practice Address - Street 1:14741 76TH AVE APT 1F
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3102
Practice Address - Country:US
Practice Address - Phone:917-683-1560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018839225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist