Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | 007077 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 007077 | NY |
NPI | 1245476654 |
---|---|
Provider Name | Miss Aviva Honikman |
First Address | Brooklyn, NY 11230-3514 |
Second Address | Brooklyn, NY 11230-3514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2009 |
Last Update Date | 07/01/2009 |