Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 002721-1 | NY |
NPI | 1124666987 |
---|---|
Provider Name | Deborah Karol-Diamond |
First Address | Bronxville, NY 10708-3403 |
Second Address | Bronxville, NY 10708-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2019 |
Last Update Date | 11/12/2019 |