Provider Demographics
NPI:1437451697
Name:GARFINKEL, MINDY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:
Last Name:GARFINKEL
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 1:64 THE SERPENTINE
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1712
Mailing Address - Country:US
Mailing Address - Phone:516-625-3577
Mailing Address - Fax:516-984-6197
Practice Address - Street 1:240 CENTER ST
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-1051
Practice Address - Country:US
Practice Address - Phone:516-305-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-21
Last Update Date:2010-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004393-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics