Provider Demographics
NPI:1043603202
Name:PINEDA, FRANCIELLE ELISE SANTIAGO (MPA, MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:FRANCIELLE
Middle Name:ELISE SANTIAGO
Last Name:PINEDA
Suffix:
Gender:F
Credentials:MPA, MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10225 67TH RD APT 6D
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2655
Mailing Address - Country:US
Mailing Address - Phone:347-556-9357
Mailing Address - Fax:
Practice Address - Street 1:4200 72ND ST
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3932
Practice Address - Country:US
Practice Address - Phone:718-424-5905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019504225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist