Provider Demographics
NPI:1841806353
Name:NURTURING LIFT, LLC
Entity Type:Organization
Organization Name:NURTURING LIFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:MASOTTI
Authorized Official - Last Name:ROCHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, IBCLC
Authorized Official - Phone:516-550-5396
Mailing Address - Street 1:841 PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6409
Mailing Address - Country:US
Mailing Address - Phone:516-550-5396
Mailing Address - Fax:
Practice Address - Street 1:841 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6409
Practice Address - Country:US
Practice Address - Phone:516-550-5396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-20
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty