Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 010778-01 | NY |
NPI | 1003486325 |
---|---|
Provider Name | Sigal Tzipora Askarinam |
First Address | Great Neck, NY 11023-1166 |
Second Address | Great Neck, NY 11023-1146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2021 |
Last Update Date | 29/06/2021 |