Healthcare Provider Details

I. General information

NPI: 1740434018
Provider Name (Legal Business Name): NANCY ELLEN OHRENSTEIN MS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 STUYVESANT OVAL # 12A
NEW YORK NY
10009-2122
US

IV. Provider business mailing address

3 STUYVESANT OVAL # 12A
NEW YORK NY
10009-2122
US

V. Phone/Fax

Practice location:
  • Phone: 917-584-3023
  • Fax:
Mailing address:
  • Phone: 917-584-3023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number017230-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: