Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 006930-1 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 006930-1 |
NPI | 1841523198 |
---|---|
Provider Name | Ms. Irene Zombek |
First Address | Holbrook, NY 11741-1827 |
Second Address | Holbrook, NY 11741-1827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2009 |
Last Update Date | 01/10/2009 |