Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 011010 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 011010 | NY |
NPI | 1053551457 |
---|---|
Provider Name | Mrs. Devorah S. Chait |
First Address | Cedarhurst, NY 11516-1024 |
Second Address | Brooklyn, NY 11232-3101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2009 |
Last Update Date | 24/02/2009 |