Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 005215-1 | NY |
NPI | 1013172089 |
---|---|
Provider Name | Patricia Smolinski |
First Address | Newburgh, NY 12550-3818 |
Second Address | Newburgh, NY 12550-3818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2008 |
Last Update Date | 18/07/2008 |