Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 012397-1 | NY |
NPI | 1003127671 |
---|---|
Provider Name | Mrs. Rina Greenwald |
First Address | Cedarhurst, NY 11516-1319 |
Second Address | Cedarhurst, NY 11516-1319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 28/06/2010 |