Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 018719 | NY |
NPI | 1053722991 |
---|---|
Provider Name | Dena Katz |
First Address | New York, NY 10033-8505 |
Second Address | New York, NY 10065-5964 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2014 |
Last Update Date | 14/05/2014 |