| NPI | 1861644874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RIVERA BRANDT Occupational Therapist Assistant 914-329-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 0061581) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |