Provider Demographics
NPI:1770604050
Name:HIRSCH-CHIMINO, JANET (MSW)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:HIRSCH-CHIMINO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:CHIMINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:21 CENTRAL BLVD
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3736
Mailing Address - Country:US
Mailing Address - Phone:516-868-0048
Mailing Address - Fax:516-868-0048
Practice Address - Street 1:21 CENTRAL BLVD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3736
Practice Address - Country:US
Practice Address - Phone:516-868-0048
Practice Address - Fax:516-868-0048
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR033186-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN52231Medicare ID - Type Unspecified