Provider Demographics
NPI:1558426718
Name:CARAIG, VOLTAIRE DELA PAZ (OTRL)
Entity Type:Individual
Prefix:MR
First Name:VOLTAIRE
Middle Name:DELA PAZ
Last Name:CARAIG
Suffix:
Gender:M
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13921 85TH DR APT 4D
Mailing Address - Street 2:
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2752
Mailing Address - Country:US
Mailing Address - Phone:917-774-5317
Mailing Address - Fax:
Practice Address - Street 1:13921 85TH DR APT 4D
Practice Address - Street 2:
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-2752
Practice Address - Country:US
Practice Address - Phone:917-774-5317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0109491225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist