Provider Demographics
NPI:1184925554
Name:D'AMBROSIO, RACHEL A (MS, OTR/L)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:A
Last Name:D'AMBROSIO
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:A
Other - Last Name:CARVALHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:140 ELLIOT AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705
Mailing Address - Country:US
Mailing Address - Phone:646-302-9384
Mailing Address - Fax:
Practice Address - Street 1:8435 64TH RD APT 34B
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2401
Practice Address - Country:US
Practice Address - Phone:646-302-9384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007209-1224Z00000X
NY019239225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant