Provider Demographics
NPI:1912165895
Name:RINA CHAWLA OTR
Entity Type:Organization
Organization Name:RINA CHAWLA OTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAWLA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:212-988-1199
Mailing Address - Street 1:51 E 73RD ST
Mailing Address - Street 2:2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3567
Mailing Address - Country:US
Mailing Address - Phone:212-988-1199
Mailing Address - Fax:212-988-3979
Practice Address - Street 1:51 E 73RD ST
Practice Address - Street 2:2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3567
Practice Address - Country:US
Practice Address - Phone:212-988-1199
Practice Address - Fax:212-988-3979
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RINA CHAWLA OTR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY00972332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0147090001OtherMEDICARE DME
NY0147090001OtherMEDICARE DME