Provider Demographics
NPI:1336701010
Name:MONSKAYA, MARINA (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:MONSKAYA
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 1:1749 E 16TH ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2967
Mailing Address - Country:US
Mailing Address - Phone:718-964-7236
Mailing Address - Fax:
Practice Address - Street 1:1749 E 16TH ST APT 2A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2967
Practice Address - Country:US
Practice Address - Phone:718-964-7236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist