Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 3541 | NY |
NPI | 1083693824 |
---|---|
Provider Name | Lori Lucchi-Caponigro |
First Address | Suffern, NY 10901-3219 |
Second Address | New City, NY 10956-3851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 29/09/2010 |