Mrs. Kathleen Marie Michaelides
Occupational Therapist - Pediatrics
3425 82nd St
Jackson Heights
, New York 11372-2967
Mrs. Kathleen Marie Michaelides
Occupational Therapist - Pediatrics
3425 82nd St
Jackson Heights
, New York 11372-2967
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Kathleen Marie Michaelides
- 44 Salisbury Run
- Mount Sinai, NY
- Zip : 11766-2823
- Phone :
Second Address
- Mrs. Kathleen Marie Michaelides
- 3425 82nd St
- Jackson Heights, NY
- Zip : 11372-2967
- Phone : (718) 898-6973
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 014831 | NY |
National Provider Identifier
| NPI | 1003182429 |
|---|---|
| Provider Name | Mrs. Kathleen Marie Michaelides |
| First Address | Mount Sinai, NY 11766-2823 |
| Second Address | Jackson Heights, NY 11372-2967 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2012 |
| Last Update Date | 29/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.