Provider Demographics
NPI:1609995679
Name:GREENSPAN, CHAYA (MS OTRL)
Entity Type:Individual
Prefix:MRS
First Name:CHAYA
Middle Name:
Last Name:GREENSPAN
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:CHAYA
Other - Middle Name:
Other - Last Name:BARAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:820 PRINCE ST
Mailing Address - Street 2:3A
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4437
Mailing Address - Country:US
Mailing Address - Phone:917-690-8883
Mailing Address - Fax:
Practice Address - Street 1:820 PRINCE ST
Practice Address - Street 2:3A
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4437
Practice Address - Country:US
Practice Address - Phone:201-837-0538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0134171225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics