Provider Demographics
NPI:1851830921
Name:POINSETTE, SHENIKQUA (COTA/L)
Entity Type:Individual
Prefix:
First Name:SHENIKQUA
Middle Name:
Last Name:POINSETTE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 FAIRMOUNT AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5952
Mailing Address - Country:US
Mailing Address - Phone:914-525-6266
Mailing Address - Fax:
Practice Address - Street 1:86 FAIRMOUNT AVE APT 2
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5952
Practice Address - Country:US
Practice Address - Phone:914-525-6266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007103224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant