Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 22765 | NY |
NPI | 1912515479 |
---|---|
Provider Name | Mrs. Dina Ungar |
First Address | Far Rockaway, NY 11691-5542 |
Second Address | Far Rockaway, NY 11691-5542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2020 |
Last Update Date | 20/07/2020 |