Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 022220 | NY |
NPI | 1003452848 |
---|---|
Provider Name | Jessie E Alberici |
First Address | Forest Hills, NY 11375-4844 |
Second Address | Forest Hills, NY 11375-4844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2019 |
Last Update Date | 26/11/2019 |