Provider Demographics
NPI:1235983198
Name:BERGER, NORA (OTR)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:BERGER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ETON PL
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5413
Mailing Address - Country:US
Mailing Address - Phone:914-907-9772
Mailing Address - Fax:
Practice Address - Street 1:4 ETON PL
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5413
Practice Address - Country:US
Practice Address - Phone:914-907-9772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029039-01225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY029039-01OtherUNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT