Healthcare Provider Details

I. General information

NPI: 1992964506
Provider Name (Legal Business Name): RINA CHAWLA OTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 EAST 73 STREET RM 2A
NEW YORK NY
10021
US

IV. Provider business mailing address

51 EAST 73 STREET RM 2A
NEW YORK NY
10021
US

V. Phone/Fax

Practice location:
  • Phone: 212-988-1199
  • Fax: 212-988-3979
Mailing address:
  • Phone: 212-988-1199
  • Fax: 212-988-3979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberNY00972
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberNY00972
License Number StateNY

VIII. Authorized Official

Name: MS. RINA CHAWLA
Title or Position: OWNER OCCUPATIONAL THERAPIST
Credential: OTR CHT
Phone: 212-988-1199