Provider Demographics
NPI:1639492713
Name:UETI, MARCIA TSIEMI
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:TSIEMI
Last Name:UETI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 JACKSON AVE
Mailing Address - Street 2:UNIT 11
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3133
Mailing Address - Country:US
Mailing Address - Phone:914-779-8273
Mailing Address - Fax:914-779-8273
Practice Address - Street 1:11 JACKSON AVE
Practice Address - Street 2:UNIT 11
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3133
Practice Address - Country:US
Practice Address - Phone:914-779-8273
Practice Address - Fax:914-779-8273
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY08793225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics