Individual
MRS. NIVIA TANGARIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5 DAKOTA DR STE 200, NEW HYDE PARK, NY 11042-1109
(718) 281-8521
(516) 302-8657
Mailing address
886 BROADWAY, BRENTWOOD, NY 11717-7532
(646) 417-0676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003785-1
NY
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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