MEDICARE: MS. JO-ANN PLAZA MSED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1366864092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JO-ANN PLAZA MSED

Provider Business Mailing Address
First Line	:	123 BRYANT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-3101
Country	:	US
Telephone Number	:	646-623-1181
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 BRYANT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-3101
Country	:	US
Telephone Number	:	646-623-1181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2014
Last Update Date	:	01/15/2014

Similar Medicare Providers

1992067680 — JP SPECIAL INSTRUCTION, INC.
Practice Location Address:

123 BRYANT AVE
STATEN ISLAND, NY
10306-3101

Practice Phone: 718-667-1790
Practice Fax:

1437349396 — DR. ANDREW S HECHTMAN DMD
Practice Location Address:

1311 BAY ST
STATEN ISLAND, NY
10305-3101

Practice Phone: 718-447-4510
Practice Fax: 718-815-0249

1912765520 — OLGA KOSICHENKO PMHNP
Practice Location Address:

29 HOMER ST
STATEN ISLAND, NY
10301-3101

Practice Phone: 646-643-4492
Practice Fax:

1497977789 — MS. LINDA ADAIR FOX LICSW, LCSW-C
Practice Location Address:

1730 RHODE ISLAND AVE NW , SUITE 506
WASHINGTON, DC
20036-3101

Practice Phone: 202-577-6074
Practice Fax:

1992905848 — MRS. SUSANN DEMPEL PA
Practice Location Address:

10065 S YACHT CLUB DR
TREASURE ISLAND, FL
33706-3101

Practice Phone: 615-243-0329
Practice Fax: 615-243-0329

1801451497 — ELAINE SNOW LAINE LISWCP
Practice Location Address:

3101 BAYWOOD DR
SEABROOK ISLAND, SC
29455-6158

Practice Phone: 843-860-7133
Practice Fax: 843-282-7706

Directions to “ MS. JO-ANN PLAZA MSED” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.