Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 006675-1 | NY |
NPI | 1295162253 |
---|---|
Provider Name | Nadine Winter |
First Address | Syosset, NY 11791-3834 |
Second Address | Syosset, NY 11791-3834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2013 |
Last Update Date | 03/10/2013 |