Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 13986 | NY |
NPI | 1174187462 |
---|---|
Provider Name | Mrs. Mary Cindy Barbiero |
First Address | Brooklyn, NY 11209-7515 |
Second Address | Brooklyn, NY 11209-7515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2019 |
Last Update Date | 23/04/2019 |