Mary Rose Benner
Occupational Therapist - Pediatrics
8 Depew Ave
Nyack
, New York 10960-3813
Mary Rose Benner
Occupational Therapist - Pediatrics
8 Depew Ave
Nyack
, New York 10960-3813
(845) 358-3349
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mary Rose Benner
- 8 Depew Ave
- Nyack, NY
- Zip : 10960-3813
- Phone : (845) 358-3349
Second Address
- Mary Rose Benner
- 8 Depew Ave
- Nyack, NY
- Zip : 10960-3813
- Phone : (845) 358-3349
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 009248-1 | NY |
National Provider Identifier
| NPI | 1023261047 |
|---|---|
| Provider Name | Mary Rose Benner |
| First Address | Nyack, NY 10960-3813 |
| Second Address | Nyack, NY 10960-3813 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.