Provider Demographics
NPI:1497999163
Name:JAVIER, MARIA CECILIA (OTR)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:CECILIA
Last Name:JAVIER
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 1:250 E 40TH ST
Mailing Address - Street 2:#19A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1721
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:250 E 40TH ST
Practice Address - Street 2:#19A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1721
Practice Address - Country:US
Practice Address - Phone:646-226-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-26
Last Update Date:2009-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006362-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist