Provider Demographics
NPI:1346494739
Name:STEIN, NAOMI (OTR/L)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:STEIN
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 1:14905 79TH AVE
Mailing Address - Street 2:APT 511
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3855
Mailing Address - Country:US
Mailing Address - Phone:718-380-4037
Mailing Address - Fax:
Practice Address - Street 1:14905 79TH AVE
Practice Address - Street 2:APT 511
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3855
Practice Address - Country:US
Practice Address - Phone:718-380-4037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012615-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist