Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 025241-01 | NY |
NPI | 1003412057 |
---|---|
Provider Name | Heidi Aaronson |
First Address | Brooklyn, NY 11210-5109 |
Second Address | Brooklyn, NY 11210-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2020 |
Last Update Date | 07/12/2020 |