Provider Demographics
NPI:1962847939
Name:PIZARRO, DANIEL ALEJANDRO (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ALEJANDRO
Last Name:PIZARRO
Suffix:
Gender:M
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 1:3716 GREENPOINT AVE
Mailing Address - Street 2:APT 3F
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-1910
Mailing Address - Country:US
Mailing Address - Phone:914-863-2253
Mailing Address - Fax:
Practice Address - Street 1:3716 GREENPOINT AVE
Practice Address - Street 2:APT 3F
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-1910
Practice Address - Country:US
Practice Address - Phone:914-863-2253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017841-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist