Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0151151 | NY |
NPI | 1053608869 |
---|---|
Provider Name | Cherie Straus |
First Address | Flushing, NY 11367-2014 |
Second Address | Flushing, NY 11367-2014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 07/12/2011 |