Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 013952-1 | NY |
NPI | 1033362934 |
---|---|
Provider Name | Mrs. Maribeth Sabino Lemen |
First Address | Bayside, NY 11360-2810 |
Second Address | Bayside, NY 11360-2810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2008 |
Last Update Date | 23/10/2008 |