Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 013867-1 | NY |
NPI | 1003061540 |
---|---|
Provider Name | Mrs. Sarah Jane Honorio Adriano-Filatov |
First Address | Bronx, NY 10461 |
Second Address | Bronx, NY 10461-4860 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 15/01/2014 |