Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 4261-1 | NY |
NPI | 1245545698 |
---|---|
Provider Name | Mr. Barry Lei |
First Address | Staten Island, NY 10314-2869 |
Second Address | Staten Island, NY 10305-3408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2010 |
Last Update Date | 10/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4261-1 | NEW YORK STATE OCCUPATIONAL THERAPY LICENCE BOARD (01) | NY |