Provider Demographics
NPI:1780837773
Name:KUTTIYARA, ROSEMARY JAMES
Entity Type:Individual
Prefix:MISS
First Name:ROSEMARY
Middle Name:JAMES
Last Name:KUTTIYARA
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 1:8 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-4408
Mailing Address - Country:US
Mailing Address - Phone:914-433-4310
Mailing Address - Fax:
Practice Address - Street 1:456 NORTH ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-3003
Practice Address - Country:US
Practice Address - Phone:914-946-4781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012997-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics