Provider Demographics
NPI:1629525266
Name:J DARBOUZE OT SERVICES PC
Entity Type:Organization
Organization Name:J DARBOUZE OT SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBOUZE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:917-841-5820
Mailing Address - Street 1:39 ELLA ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3118
Mailing Address - Country:US
Mailing Address - Phone:917-841-5820
Mailing Address - Fax:888-278-1472
Practice Address - Street 1:39 ELLA ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3118
Practice Address - Country:US
Practice Address - Phone:917-841-5820
Practice Address - Fax:888-278-1472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty