Individual
JACKIE KATHLEEN PROFERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3291
(518) 262-4492
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-4492
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009663-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009663-1
NYS
NY
Enumeration date
01/09/2019
Last updated
01/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us