Provider Demographics
NPI:1578838140
Name:SCHEINER VALENCIA, RANDI MEREDITH (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:MEREDITH
Last Name:SCHEINER VALENCIA
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MRS
Other - First Name:RANDI
Other - Middle Name:MEREDITH
Other - Last Name:SCHEINER VALENCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:220 W 121ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6217
Mailing Address - Country:US
Mailing Address - Phone:212-865-6559
Mailing Address - Fax:
Practice Address - Street 1:220 W 121ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6217
Practice Address - Country:US
Practice Address - Phone:212-865-6559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006966225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist