Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 007342-1 | NY |
NPI | 1154566453 |
---|---|
Provider Name | Sheryl Rothstein Sturn |
First Address | Schenectady, NY 12303-5348 |
Second Address | Schenectady, NY 12303-5348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2008 |
Last Update Date | 19/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03074857 | (05) | NY |