Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 021164 | NY |
NPI | 1194237289 |
---|---|
Provider Name | Erica Teresa Cirilli |
First Address | New York, NY 10038-5651 |
Second Address | New York, NY 10038-5651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2017 |
Last Update Date | 29/10/2017 |