Individual
DANA BARSALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1367 WASHINGTON AVE, SUITE 100, ALBANY, NY 12206-1043
(518) 438-7926
(518) 438-8364
Mailing address
711 TROY SCHENECTADY RD, SUITE 209, LATHAM, NY 12110-2442
(518) 786-1667
(518) 786-1954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010213-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02520905
—
NY
01
—
CC6756
MEDICARE
NY
01
—
P00270670
RAILROAD MEDICARE
NY
Enumeration date
11/15/2005
Last updated
01/24/2018
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