Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 004728-1 | NY |
NPI | 1174521470 |
---|---|
Provider Name | Ms. Deborah Brienza |
First Address | Carle Place, NY 11514-1654 |
Second Address | Carle Place, NY 11514-1654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 12/04/2010 |