Healthcare Provider Details

I. General information

NPI: 1316427354
Provider Name (Legal Business Name): NANCY E OCASIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2018
Last Update Date: 08/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 AUSTIN ST
FOREST HILLS NY
11375-1022
US

IV. Provider business mailing address

2059 WASHINGTON AVE
BRONX NY
10457-3243
US

V. Phone/Fax

Practice location:
  • Phone: 347-520-3827
  • Fax:
Mailing address:
  • Phone: 347-520-3827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: