Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 013262 | NY |
N | 2251E1200X | Ergonomics | 013262 | NY |
N | 225XE1200X | Ergonomics | 013262 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 013262 | NY |
NPI | 1639211592 |
---|---|
Provider Name | Mr. Gary Muniz JR. |
First Address | Commack, NY 11725-1508 |
Second Address | Commack, NY 11725-1508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 31/01/2017 |