Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 009331 | NY |
NPI | 1013445204 |
---|---|
Provider Name | Veronica Ruiz |
First Address | Bronx, NY 10462-3916 |
Second Address | West Hempstead, NY 11552-2737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2017 |
Last Update Date | 03/01/2018 |