Provider Demographics
NPI:1811120710
Name:ALBANO, AMAPOLA CERIZZA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AMAPOLA
Middle Name:CERIZZA
Last Name:ALBANO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:AMAPOLA
Other - Middle Name:CERIZZA
Other - Last Name:CANDELARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:28 SCHMIDTS LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5521
Mailing Address - Country:US
Mailing Address - Phone:917-279-2900
Mailing Address - Fax:
Practice Address - Street 1:28 SCHMIDTS LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5521
Practice Address - Country:US
Practice Address - Phone:917-279-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011649-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics