Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0140551 | NY |
NPI | 1033415864 |
---|---|
Provider Name | Mrs. Miri Slansky |
First Address | Brooklyn, NY 11230-5151 |
Second Address | Brooklyn, NY 11230-5151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2011 |
Last Update Date | 26/01/2011 |