Provider Demographics
NPI:1447023825
Name:NIMAN, DAHLIA EVE
Entity type:Individual
Prefix:
First Name:DAHLIA
Middle Name:EVE
Last Name:NIMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAHLIA
Other - Middle Name:EVE
Other - Last Name:KRISCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:151 E BEECH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4119
Mailing Address - Country:US
Mailing Address - Phone:646-262-0059
Mailing Address - Fax:
Practice Address - Street 1:523 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2803
Practice Address - Country:US
Practice Address - Phone:516-432-8285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2959141104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker