Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | 014561-1 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 46TR00411900 | NJ |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 014561-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00411900 | NJ |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 014561-1 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00411900 | NJ |
N | 225XP0200X | Occupational Therapist - Pediatrics | 014561-1 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00411900 | NJ |
NPI | 1396989075 |
---|---|
Provider Name | Ms. Andrea Rose Delmonico |
First Address | Midland Park, NJ 07432-1444 |
Second Address | Midland Park, NJ 07432-1444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2009 |
Last Update Date | 24/08/2010 |