Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 018266 | NY |
NPI | 1003246109 |
---|---|
Provider Name | Naomi Kaufman |
First Address | Brooklyn, NY 11215-5966 |
Second Address | Brooklyn, NY 11215-5966 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2013 |
Last Update Date | 15/12/2013 |