Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 002968-1 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 002968-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 002968-1 | NY |
NPI | 1295873875 |
---|---|
Provider Name | Mr. Mitchel Alan Rabinowitz |
First Address | Great Neck, NY 11023-2241 |
Second Address | Great Neck, NY 11023-2241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2007 |
Last Update Date | 12/11/2008 |