Provider Demographics
NPI:1205966363
Name:SHENOY, ROOPALATHA P (OTRL)
Entity type:Individual
Prefix:MRS
First Name:ROOPALATHA
Middle Name:P
Last Name:SHENOY
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-2504
Mailing Address - Country:US
Mailing Address - Phone:845-469-9175
Mailing Address - Fax:845-469-9175
Practice Address - Street 1:1979 MARCUS AVENUE
Practice Address - Street 2:SUITE 204 GLOBAL COMMUNICATION SERVICES
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-327-4681
Practice Address - Fax:516-327-4684
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0083411225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist