Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 009721-1 | NY |
NPI | 1033428446 |
---|---|
Provider Name | Nancy A Deckert |
First Address | Mount Sinai, NY 11766-1832 |
Second Address | Mount Sinai, NY 11766-1832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2010 |
Last Update Date | 03/10/2010 |