Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 021279-1 | NY |
NPI | 1033637624 |
---|---|
Provider Name | Emily Budnick |
First Address | New York, NY 10016-1713 |
Second Address | New York, NY 10023-3300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2017 |
Last Update Date | 02/09/2017 |