Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 008255-1 | NY |
NPI | 1003221151 |
---|---|
Provider Name | Denine Pappania |
First Address | East Meadow, NY 11554-2456 |
Second Address | East Meadow, NY 11554-2456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2014 |
Last Update Date | 22/04/2015 |