Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 64 007777 | NY |
NPI | 1295032217 |
---|---|
Provider Name | Ms. Farrah Murad |
First Address | Baldwin, NY 11510-4647 |
Second Address | Baldwin, NY 11510-4647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2011 |
Last Update Date | 20/03/2012 |