Provider Demographics
NPI:1215427091
Name:JAZ SENSORY INC
Entity type:Organization
Organization Name:JAZ SENSORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNA
Authorized Official - Middle Name:EVE
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, C/NDT
Authorized Official - Phone:917-838-4665
Mailing Address - Street 1:8007 LANGDALE ST FL 1
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1511
Mailing Address - Country:US
Mailing Address - Phone:918-384-4665
Mailing Address - Fax:
Practice Address - Street 1:8007 LANGDALE ST FL 1
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:917-838-4665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-16
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty