Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 015442-1 | NY |
NPI | 1093105611 |
---|---|
Provider Name | Mrs. Sara Slyman |
First Address | Seaford, NY 11783-3027 |
Second Address | Melville, NY 11747-3316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2015 |
Last Update Date | 03/02/2015 |