Mr. Gerald O Ikezi
Occupational Therapy Assistant
17330 113th Ave
Addisleigh Park
, New York 11433-4003
Mr. Gerald O Ikezi
Occupational Therapy Assistant
17330 113th Ave
Addisleigh Park
, New York 11433-4003
(718) 207-3292
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Gerald O Ikezi
- 17330 113th Ave
- Addisleigh Park, NY
- Zip : 11433-4003
- Phone : (718) 207-3292
Second Address
- Mr. Gerald O Ikezi
- 17330 113th Ave
- Addisleigh Park, NY
- Zip : 11433-4003
- Phone : (718) 207-3292
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 007775-1 | NY |
National Provider Identifier
| NPI | 1013211515 |
|---|---|
| Provider Name | Mr. Gerald O Ikezi |
| First Address | Addisleigh Park, NY 11433-4003 |
| Second Address | Addisleigh Park, NY 11433-4003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2010 |
| Last Update Date | 27/12/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.