Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 015152 | NY |
NPI | 1144643065 |
---|---|
Provider Name | Tammy Abdan |
First Address | New York, NY 10016-3887 |
Second Address | New York, NY 10016-3887 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2014 |
Last Update Date | 24/02/2014 |