Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 332BC3200X | Durable Medical Equipment & Medical Supplies | Customized Equipment | 001270 | NEW YORK | No |
| 2 | 225X00000X | Occupational Therapist | | 0012270 | NEW YORK | No |
| 3 | 225XH1200X | Occupational Therapist | Hand | 0012270 | NEW YORK | No |
| 4 | 332B00000X | Durable Medical Equipment & Medical Supplies | | 0012270 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 001270 NO2 | OTHER | NEW YORK | HIP |
| 2 | 11478170 | OTHER | NEW YORK | CAQH |
| 3 | 0029110 | OTHER | NEW YORK | AETNA (ORTHONET) |
| 4 | 179947P | OTHER | NEW YORK | HIP |
| 5 | 6636543 | OTHER | NEW YORK | CIGNA |
| 6 | QRW351 | OTHER | NEW YORK | EMPIRE MEDICARE |
| 7 | 29110 | OTHER | NEW YORK | CIGNA (ORTHONET) |
| 8 | 4465856 | OTHER | NEW YORK | AETNA |
| 9 | 4C0378 | OTHER | NEW YORK | HEALTHNET |
| 10 | 141769242082 | OTHER | NEW YORK | HEALTH FIRST |
| 11 | 001270S | OTHER | NEW YORK | HEALTHCARE PARTNERS |
| 12 | QS7142 | OTHER | NEW YORK | EMPIRE |
| 13 | ANC1449 | OTHER | NEW YORK | OXFORD |
