Provider Demographics
NPI:1346845906
Name:BELINKY, REBECCA SHIRA (OTR/L)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SHIRA
Last Name:BELINKY
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 1:808 COLUMBUS AVE APT 5J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5142
Mailing Address - Country:US
Mailing Address - Phone:404-663-5950
Mailing Address - Fax:
Practice Address - Street 1:808 COLUMBUS AVE APT 5J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5142
Practice Address - Country:US
Practice Address - Phone:404-663-5950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025261225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist