Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 006455 | NY |
NPI | 1164462289 |
---|---|
Provider Name | Fran M Fleishman |
First Address | Riverdale, NY 10471-1722 |
Second Address | Hawthorne, NY 10532-1541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 05/03/2014 |