Individual
MS. LISA BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 W 144TH ST, NEW YORK, NY 10030-1202
(212) 690-5954
Mailing address
244 W 144TH ST, NEW YORK, NY 10030-1202
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016999
NY
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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