Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 004319-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 004319-1 | NY |
NPI | 1033352208 |
---|---|
Provider Name | Ms. Carolyn Jayne Downes |
First Address | Bayside, NY 11361-3444 |
Second Address | Bayside, NY 11361-3444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2009 |
Last Update Date | 17/04/2009 |