Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 024079 | NY |
NPI | 1003589177 |
---|---|
Provider Name | Jacel Romero |
First Address | White Plains, NY 10603-2307 |
Second Address | White Plains, NY 10603-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2021 |
Last Update Date | 26/07/2021 |