Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 005997-1 | NY |
NPI | 1003112475 |
---|---|
Provider Name | Mrs. Catherine Anne Amar |
First Address | Mount Vernon, NY 10552-1211 |
Second Address | Mount Vernon, NY 10552-1211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2011 |
Last Update Date | 02/02/2011 |