| NPI | 1700380011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELLE DOROTHY PHILLIPS Owner / Director 917-294-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-01-18 |