Provider Demographics
NPI:1659687663
Name:MCDOWELL-CHOATE, MERIDITH ELLEN
Entity Type:Individual
Prefix:MS
First Name:MERIDITH
Middle Name:ELLEN
Last Name:MCDOWELL-CHOATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MERIDITH
Other - Middle Name:
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:56 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PAWLING
Mailing Address - State:NY
Mailing Address - Zip Code:12564-1319
Mailing Address - Country:US
Mailing Address - Phone:845-855-1638
Mailing Address - Fax:
Practice Address - Street 1:47 W HYATT AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2817
Practice Address - Country:US
Practice Address - Phone:914-666-2677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011377-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist