Provider Demographics
NPI:1245482272
Name:NAZARIO, MONICA M (MS, OTR/L)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:M
Last Name:NAZARIO
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SKYLINE DR
Mailing Address - Street 2:SUITE 298
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2157
Mailing Address - Country:US
Mailing Address - Phone:914-347-5990
Mailing Address - Fax:
Practice Address - Street 1:1 SKYLINE DR
Practice Address - Street 2:SUITE 298
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2157
Practice Address - Country:US
Practice Address - Phone:914-347-5990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010532-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics