Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 007730-1 | NY |
NPI | 1003120072 |
---|---|
Provider Name | Blanca Cartagena |
First Address | Valley Stream, NY 11581-2020 |
Second Address | Kew Gardens Hills, NY 11367-3360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2010 |
Last Update Date | 02/08/2010 |