Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0140751 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 0140751 | NY |
NPI | 1063646701 |
---|---|
Provider Name | Ms. Yonnette Rosana Ramlochan |
First Address | Valley Stream, NY 11580-1005 |
Second Address | Valley Stream, NY 11580-1005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2009 |
Last Update Date | 10/05/2009 |