Provider Demographics
NPI:1497025050
Name:PALLADINO, DEBORAH (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:PALLADINO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 OLD MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2710
Mailing Address - Country:US
Mailing Address - Phone:845-639-6782
Mailing Address - Fax:845-639-6782
Practice Address - Street 1:62 OLD MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-2710
Practice Address - Country:US
Practice Address - Phone:845-639-6782
Practice Address - Fax:845-639-6782
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00509224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant