Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 018036-1 | NY |
NPI | 1033540976 |
---|---|
Provider Name | Ms. Rachael Bina Spero |
First Address | New York, NY 10040-3845 |
Second Address | Bronx, NY 10457-6216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2013 |
Last Update Date | 03/12/2013 |