Provider Demographics
NPI:1043531460
Name:DELARIOS, ELIZABETH ANN (COTA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:DELARIOS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 W 108TH ST
Mailing Address - Street 2:APT.6D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2964
Mailing Address - Country:US
Mailing Address - Phone:512-587-2529
Mailing Address - Fax:
Practice Address - Street 1:226 W 108TH ST
Practice Address - Street 2:APT.6D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-2964
Practice Address - Country:US
Practice Address - Phone:512-587-2529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007585224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant