Provider Demographics
NPI:1003061540
Name:ADRIANO-FILATOV, SARAH JANE HONORIO (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SARAH JANE
Middle Name:HONORIO
Last Name:ADRIANO-FILATOV
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:SARA JANE
Other - Middle Name:HONORIO
Other - Last Name:ADRIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2836 MIDDLETOWN ROAD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:347-221-4091
Mailing Address - Fax:
Practice Address - Street 1:1604 EDISON AVENUE APT 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4860
Practice Address - Country:US
Practice Address - Phone:347-221-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013867-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist