Provider Demographics
NPI:1093214884
Name:PYTEL, MARIA CECYLIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CECYLIA
Last Name:PYTEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10901-6419
Mailing Address - Country:US
Mailing Address - Phone:845-826-5317
Mailing Address - Fax:
Practice Address - Street 1:450 MAMARONECK AVE SUITE412
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528
Practice Address - Country:US
Practice Address - Phone:914-686-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009162-1224ZE0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantEnvironmental Modification
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY240413099OtherNEW YORK STATE DSRIVER LICENCE