Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 73-026825 | NY |
NPI | 1003133919 |
---|---|
Provider Name | Rita Ohsiek |
First Address | West Brentwood, NY 11717-1019 |
Second Address | West Brentwood, NY 11717-1019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2010 |
Last Update Date | 02/05/2010 |