Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 018843-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 018843-1 | NY |
NPI | 1518353986 |
---|---|
Provider Name | Sofia Reina Huang |
First Address | Brooklyn, NY 11219-5526 |
Second Address | New York, NY 10016-9196 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2015 |
Last Update Date | 12/04/2015 |