Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 46TR00174600 | NJ |
NPI | 1194179259 |
---|---|
Provider Name | Yogesh Tiwari |
First Address | Englewood Cliffs, NJ 07632-3016 |
Second Address | Englewood Cliffs, NJ 07632-3016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2016 |
Last Update Date | 14/04/2016 |