Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 008892-1 | NY |
NPI | 1013378702 |
---|---|
Provider Name | Ronell Singh |
First Address | Haverstraw, NY 10927-1117 |
Second Address | Haverstraw, NY 10927-1117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2016 |
Last Update Date | 09/03/2016 |