Provider Demographics
NPI:1215685425
Name:GARVEY, NOREEN CHRISTINA
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:CHRISTINA
Last Name:GARVEY
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 1:5540 METROPOLITAN AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-1254
Mailing Address - Country:US
Mailing Address - Phone:917-868-4212
Mailing Address - Fax:
Practice Address - Street 1:5540 METROPOLITAN AVE APT 1R
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-1254
Practice Address - Country:US
Practice Address - Phone:917-868-4212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048373225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist