Provider Demographics
NPI:1679830483
Name:QAMAR, TASNEEM (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:TASNEEM
Middle Name:
Last Name:QAMAR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7915 35TH AVE
Mailing Address - Street 2:2A
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2744
Mailing Address - Country:US
Mailing Address - Phone:718-651-6036
Mailing Address - Fax:
Practice Address - Street 1:7915 35TH AVE
Practice Address - Street 2:2A
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-2744
Practice Address - Country:US
Practice Address - Phone:718-651-6036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012637-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist