Provider Demographics
NPI:1932354123
Name:DUHAN, MIRIAM (OTR)
Entity Type:Individual
Prefix:MS
First Name:MIRIAM
Middle Name:
Last Name:DUHAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W 104TH ST APT 8C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4141
Mailing Address - Country:US
Mailing Address - Phone:212-866-2791
Mailing Address - Fax:212-866-2791
Practice Address - Street 1:309 W 104TH ST APT 8C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4141
Practice Address - Country:US
Practice Address - Phone:212-866-2791
Practice Address - Fax:212-866-2791
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015098-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist