Provider Demographics
NPI:1881972958
Name:LEWANDOWSKI, EMILY SARAH (COTA,CBIS)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:SARAH
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:COTA,CBIS
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:SARAH
Other - Last Name:PINDUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA,CBIS
Mailing Address - Street 1:94 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-1127
Mailing Address - Country:US
Mailing Address - Phone:845-246-9669
Mailing Address - Fax:
Practice Address - Street 1:94 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAUGERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477-1127
Practice Address - Country:US
Practice Address - Phone:845-246-9669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-23
Last Update Date:2011-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005040-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist