Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 007569 | NY |
NPI | 1104184639 |
---|---|
Provider Name | Ms. Cassandra A Kyere |
First Address | Bronx, NY 10452 |
Second Address | Bronx, NY 10452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2012 |
Last Update Date | 17/12/2019 |