Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 011008-1 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 011008-1 | NY |
NPI | 1043464001 |
---|---|
Provider Name | Ms. Elisa Feld |
First Address | New York, NY 10128-6621 |
Second Address | Hopewell Junction, NY 12533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2008 |
Last Update Date | 14/05/2020 |