Provider Demographics
NPI:1407116148
Name:BADI, AHSIA KHAN (OTR)
Entity Type:Individual
Prefix:
First Name:AHSIA
Middle Name:KHAN
Last Name:BADI
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 1:201 E 36TH ST
Mailing Address - Street 2:APT 5F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3668
Mailing Address - Country:US
Mailing Address - Phone:917-783-3010
Mailing Address - Fax:
Practice Address - Street 1:201 E 36TH ST
Practice Address - Street 2:APT 5F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3668
Practice Address - Country:US
Practice Address - Phone:917-783-3010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-28
Last Update Date:2012-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016141225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY016141OtherNEW YORK STATE LICENCE
1014953OtherNBCOT