Provider Demographics
NPI:1265867295
Name:OEY, ELVINA F
Entity Type:Individual
Prefix:MISS
First Name:ELVINA
Middle Name:F
Last Name:OEY
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 1:11880 METROPOLITAN AVE
Mailing Address - Street 2:2E
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2063
Mailing Address - Country:US
Mailing Address - Phone:416-318-0361
Mailing Address - Fax:
Practice Address - Street 1:11880 METROPOLITAN AVE
Practice Address - Street 2:2E
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2063
Practice Address - Country:US
Practice Address - Phone:416-318-0361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018218225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist