Healthcare Provider Details

I. General information

NPI: 1114856465
Provider Name (Legal Business Name): ALTA NEUER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 153RD ST APT 511
FLUSHING NY
11367-3094
US

IV. Provider business mailing address

7525 153RD ST APT 511
FLUSHING NY
11367-3094
US

V. Phone/Fax

Practice location:
  • Phone: 201-621-2846
  • Fax:
Mailing address:
  • Phone: 201-621-2846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number031124-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: