Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 013502 | NY |
NPI | 1033421136 |
---|---|
Provider Name | Remil Hernandez Garcia |
First Address | Elmhurst, NY 11373-3844 |
Second Address | Elmhurst, NY 11373-3844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2010 |
Last Update Date | 07/07/2010 |