Healthcare Provider Details

I. General information

NPI: 1346175965
Provider Name (Legal Business Name): TZIPPORA FAIGA KRAFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2879 FABER TER
FAR ROCKAWAY NY
11691-1775
US

IV. Provider business mailing address

2879 FABER TER
FAR ROCKAWAY NY
11691-1775
US

V. Phone/Fax

Practice location:
  • Phone: 929-485-5821
  • Fax:
Mailing address:
  • Phone: 929-485-5821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number031153
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: