Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 0090091 | NY |
NPI | 1013547751 |
---|---|
Provider Name | Mrs. Tamara Abadi |
First Address | Cedarhurst, NY 11516-1124 |
Second Address | Cedarhurst, NY 11516-1124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2020 |
Last Update Date | 22/01/2020 |