Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 002068-1 | NY |
NPI | 1023263902 |
---|---|
Provider Name | Ms. Maria Antonia Reinoso |
First Address | Staten Island, NY 10306-2719 |
Second Address | Staten Island, NY 10305-3524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2008 |
Last Update Date | 19/11/2008 |