Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 001505-1 | NY |
NPI | 1023325446 |
---|---|
Provider Name | Ronni Leizer Camhi |
First Address | Stony Brook, NY 11790-2119 |
Second Address | Long Beach, NY 11561-2709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2010 |
Last Update Date | 07/09/2010 |