Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 014446 | NY |
NPI | 1508005521 |
---|---|
Provider Name | Mrs. Holly Ramnarine |
First Address | South Ozone Park, NY 11420-2322 |
Second Address | South Ozone Park, NY 11420-2322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2009 |
Last Update Date | 14/02/2009 |