Provider Demographics
NPI:1508253675
Name:DOBRINSKY, STEPHANIE (OTRL)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:DOBRINSKY
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6768 150TH ST
Mailing Address - Street 2:APT A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1424
Mailing Address - Country:US
Mailing Address - Phone:201-638-4376
Mailing Address - Fax:
Practice Address - Street 1:6768 150TH ST
Practice Address - Street 2:APT A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1424
Practice Address - Country:US
Practice Address - Phone:201-638-4376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019654225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist