Provider Demographics
NPI:1740459155
Name:HURWITZ, PRITI (MA)
Entity type:Individual
Prefix:MRS
First Name:PRITI
Middle Name:
Last Name:HURWITZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:PRITI
Other - Middle Name:
Other - Last Name:AGARWAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:386 WHIMBREL LN
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-2222
Mailing Address - Country:US
Mailing Address - Phone:201-864-2696
Mailing Address - Fax:
Practice Address - Street 1:320 W 13TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-1200
Practice Address - Country:US
Practice Address - Phone:212-645-1616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007518-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist