Healthcare Provider Details

I. General information

NPI: 1740459155
Provider Name (Legal Business Name): PRITI HURWITZ MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PRITI AGARWAL MA

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 09/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 W 13TH ST
NEW YORK NY
10014-1200
US

IV. Provider business mailing address

386 WHIMBREL LN
SECAUCUS NJ
07094-2222
US

V. Phone/Fax

Practice location:
  • Phone: 212-645-1616
  • Fax:
Mailing address:
  • Phone: 201-864-2696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number007518-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: