Joan Axelrod is a Specialist based in Oceanside, NY. Joan Axelrod practices in Oceanside, NY. The NPI Number for Joan Axelrod is 1194074609 and holds a License No. 1545772 (New York).
The current practice location address for Joan Axelrod is 569 Derby Dr E, Oceanside, NY and can be reached out via phone at 516-766-2812.
Location: 569 Derby Dr E, Oceanside, NY, 11572-2611
Provider Profile Details
NPI Number
1194074609
Provider Name
Joan Axelrod
Credential
Provider Entity Type
Individual
Gender
Female
Address
569 Derby Dr E, Oceanside, NY, 11572-2611
Phone Number
516-766-2812
Fax Number
Provider Enumeration Date
08/30/2012
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1545772 | 01 | NY | NY |
Provider Business Practice Location Address Details
Address
569 Derby Dr E
City
State
Zip
11572-2611
Phone Number
516-766-2812
Fax Number
Provider Business Mailing Address Details
Address
569 Derby Dr E
City
State
Zip
11572-2611
Phone Number
516-766-2812
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
1545772 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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