Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 000783-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 000783-1 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 000783-1 | NY |
NPI | 1386884096 |
---|---|
Provider Name | Ms. Carol Tornello |
First Address | Staten Island, NY 10306-3717 |
Second Address | Staten Island, NY 10306-3717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2009 |
Last Update Date | 21/02/2009 |