Provider Demographics
NPI:1669736468
Name:KING-FOUSHEE, PATRICIA EILEEN
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:EILEEN
Last Name:KING-FOUSHEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 FILLMORE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4730
Mailing Address - Country:US
Mailing Address - Phone:917-328-0712
Mailing Address - Fax:
Practice Address - Street 1:5405 FILLMORE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4730
Practice Address - Country:US
Practice Address - Phone:917-328-0712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist