Individual
ELISHEVA LOEWY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11 TOLLGATE DR, EAST NORTHPORT, NY 11731-5423
(845) 499-1093
Mailing address
11 TOLLGATE DR, EAST NORTHPORT, NY 11731-5423
(631) 368-0409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023777
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023777
OCCUPATIONAL THERAPY LICENSE
NY
Enumeration date
07/23/2019
Last updated
07/23/2019
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