Provider Demographics
NPI:1710252093
Name:LAKHTER, DIANA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:
Last Name:LAKHTER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:CHERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:2679 E 24TH ST
Mailing Address - Street 2:APT. 1B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2669
Mailing Address - Country:US
Mailing Address - Phone:718-614-1865
Mailing Address - Fax:
Practice Address - Street 1:1400 BENSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3712
Practice Address - Country:US
Practice Address - Phone:718-236-5447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012543225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist