Provider Demographics
NPI:1225579501
Name:SHUBOWITZ, DAVIDA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DAVIDA
Middle Name:
Last Name:SHUBOWITZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13737 70TH AVE
Mailing Address - Street 2:1A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1925
Mailing Address - Country:US
Mailing Address - Phone:516-659-4887
Mailing Address - Fax:
Practice Address - Street 1:13737 70TH AVE
Practice Address - Street 2:1A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1925
Practice Address - Country:US
Practice Address - Phone:516-659-4887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist