Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 015344 | NY |
NPI | 1003056029 |
---|---|
Provider Name | Miriam A Chen |
First Address | New York, NY 10023-0025 |
Second Address | Bayside, NY 11361-3241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2009 |
Last Update Date | 03/10/2010 |