Provider Demographics
NPI:1811208580
Name:NAIR, RANI R (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:RANI
Middle Name:R
Last Name:NAIR
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 1:800 VICTORY BLVD
Mailing Address - Street 2:# 1-J
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-3702
Mailing Address - Country:US
Mailing Address - Phone:347-204-2266
Mailing Address - Fax:
Practice Address - Street 1:800 VICTORY BLVD
Practice Address - Street 2:# 1-J
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-3702
Practice Address - Country:US
Practice Address - Phone:347-204-2266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009290-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist