Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 008040 | NY |
NPI | 1003113747 |
---|---|
Provider Name | Alexandra Marie Giancaterino |
First Address | Orchard Park, NY 14127-1672 |
Second Address | Orchard Park, NY 14127-1672 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2011 |
Last Update Date | 15/02/2011 |