Provider Demographics
NPI:1457627309
Name:HARARI, EDITH (OTR/L)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:
Last Name:HARARI
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 1:220 E. 76TH ST.
Mailing Address - Street 2:M167 ROBERT F. WAGNER MIDDLE SCHOOL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2989
Mailing Address - Country:US
Mailing Address - Phone:212-535-8610
Mailing Address - Fax:
Practice Address - Street 1:220 E. 76TH ST.
Practice Address - Street 2:M167 ROBERT F. WAGNER MIDDLE SCHOOL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2989
Practice Address - Country:US
Practice Address - Phone:212-535-8610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014518-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist