Provider Demographics
NPI:1346494747
Name:JAVIER, FLORENCIO EXEQUIEL COLOMA (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:FLORENCIO EXEQUIEL
Middle Name:COLOMA
Last Name:JAVIER
Suffix:
Gender:M
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2849 HEDGE ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3040
Mailing Address - Country:US
Mailing Address - Phone:914-245-2269
Mailing Address - Fax:914-245-2269
Practice Address - Street 1:2849 HEDGE ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-3040
Practice Address - Country:US
Practice Address - Phone:914-245-2269
Practice Address - Fax:914-245-2269
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2016-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY009316-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics