Healthcare Provider Details

I. General information

NPI: 1932022613
Provider Name (Legal Business Name): ARIELLE LAM OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 QUENTIN RD
BROOKLYN NY
11229-1343
US

IV. Provider business mailing address

1811 QUENTIN RD
BROOKLYN NY
11229-1343
US

V. Phone/Fax

Practice location:
  • Phone: 347-261-3775
  • Fax:
Mailing address:
  • Phone: 347-261-3775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031244
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: