Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 025067 | NY |
NPI | 1043980196 |
---|---|
Provider Name | Sana Rahim |
First Address | Watervliet, NY 12189-1125 |
Second Address | Schenectady, NY 12303-5424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2021 |
Last Update Date | 20/09/2021 |