Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 013900 | NY |
NPI | 1003902305 |
---|---|
Provider Name | Ms. Angel Mui-Mcintosh |
First Address | New York, NY 11385 |
Second Address | New York, NY 10002-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 19/09/2012 |