Provider Demographics
NPI:1255606117
Name:WARBURG HARCSZTARK, ARIELA S
Entity type:Individual
Prefix:MRS
First Name:ARIELA
Middle Name:S
Last Name:WARBURG HARCSZTARK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARIELA
Other - Middle Name:
Other - Last Name:WARBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:191 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-2101
Mailing Address - Country:US
Mailing Address - Phone:201-220-5858
Mailing Address - Fax:
Practice Address - Street 1:1415 QUEEN ANNE RD STE 100
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3521
Practice Address - Country:US
Practice Address - Phone:201-837-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-12
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008057224Z00000X
46TR00612700225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant