Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0215421 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0215421 | NY |
NPI | 1114443991 |
---|---|
Provider Name | Ms. Daniela Badalamenti |
First Address | Huntington, NY 11743-2508 |
Second Address | Huntington, NY 11743-2508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2017 |
Last Update Date | 14/08/2017 |