Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 011004 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 011004 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 011004 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 011004 | NY |
NPI | 1528218963 |
---|---|
Provider Name | Mr. Franklin Osagie Emokpae |
First Address | Flushing, NY 11367-1626 |
Second Address | Flushing, NY 11367-1626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2008 |
Last Update Date | 17/01/2013 |