Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 007621 | NY |
NPI | 1316418452 |
---|---|
Provider Name | Caroline Ann Mcgay-Marple I |
First Address | Manorville, NY 11949-2042 |
Second Address | Westhampton, NY 11977-1259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2018 |
Last Update Date | 16/12/2018 |