Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 013905 | NY |
NPI | 1033363114 |
---|---|
Provider Name | Sharon Galang |
First Address | Maspeth, NY 11378-1915 |
Second Address | Flushing, NY 11354-4103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2008 |
Last Update Date | 15/01/2015 |