Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 3201 | NY |
NPI | 1033198023 |
---|---|
Provider Name | Shari Federbusch |
First Address | New City, NY 10956-5432 |
Second Address | New City, NY 10956-3851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 20/03/2008 |