Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 002235 | NY |
NPI | 1235224551 |
---|---|
Provider Name | Ms. Marianne Hedl |
First Address | Yonkers, NY 10707-1620 |
Second Address | Astoria, NY 11102-2756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1421049 | UNITED HEALTH CARE (01) | NY |
P3365224 | OXFORD INS. (01) | NY |
QQ7423 | EMPIRE HEALTHNET (01) | NY |