Provider Demographics
NPI:1356539332
Name:LHIEL TAGA-OC
Entity type:Organization
Organization Name:LHIEL TAGA-OC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LHIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGA-OC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-546-3038
Mailing Address - Street 1:2166 MATTHEWS AVE APT 7V
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2011
Mailing Address - Country:US
Mailing Address - Phone:646-546-3038
Mailing Address - Fax:
Practice Address - Street 1:2166 MATTHEWS AVE APT 7V
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2011
Practice Address - Country:US
Practice Address - Phone:646-546-3038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013588320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities