Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 014982-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 014982-1 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 014982-1 | NY |
NPI | 1700221470 |
---|---|
Provider Name | Lauren A Varriale |
First Address | West Islip, NY 11795-1810 |
Second Address | East Meadow, NY 11554-4748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2013 |
Last Update Date | 07/05/2013 |