Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 016640-1 | NY |
NPI | 1053610444 |
---|---|
Provider Name | Robyn Szwarcok |
First Address | Brooklyn, NY 11238-6141 |
Second Address | Brooklyn, NY 11211-9210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2011 |
Last Update Date | 24/03/2011 |