Provider Demographics
NPI:1174250534
Name:GARFINKEL, NIA
Entity type:Individual
Prefix:
First Name:NIA
Middle Name:
Last Name:GARFINKEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2598 CONWAY RD APT 1316
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-4510
Mailing Address - Country:US
Mailing Address - Phone:917-856-8444
Mailing Address - Fax:
Practice Address - Street 1:2598 CONWAY RD APT 1316
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-4510
Practice Address - Country:US
Practice Address - Phone:917-856-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist