Provider Demographics
NPI:1851695373
Name:GOLDMAN TROPPER, SHIFRA D (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SHIFRA
Middle Name:D
Last Name:GOLDMAN TROPPER
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 1:8522 125TH ST
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3311
Mailing Address - Country:US
Mailing Address - Phone:718-887-6461
Mailing Address - Fax:
Practice Address - Street 1:12610 109TH AVE
Practice Address - Street 2:
Practice Address - City:S OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-1525
Practice Address - Country:US
Practice Address - Phone:718-738-5126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-23
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015051-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist