Provider Demographics
NPI:1326289240
Name:DUARTE, CARMO M (OTR)
Entity Type:Individual
Prefix:MS
First Name:CARMO
Middle Name:M
Last Name:DUARTE
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 1:500 CENTRAL PARK AVE
Mailing Address - Street 2:APT. 212
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1041
Mailing Address - Country:US
Mailing Address - Phone:914-472-7226
Mailing Address - Fax:
Practice Address - Street 1:500 CENTRAL PARK AVE
Practice Address - Street 2:APT. 212
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1041
Practice Address - Country:US
Practice Address - Phone:914-472-7226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06090225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist