Healthcare Provider Details

I. General information

NPI: 1659688349
Provider Name (Legal Business Name): MARGARITA GENDELMAN M.S., OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W 55TH ST APT 4
NEW YORK NY
10019-4532
US

IV. Provider business mailing address

301 W 55TH ST APT 4
NEW YORK NY
10019-4532
US

V. Phone/Fax

Practice location:
  • Phone: 646-358-2557
  • Fax:
Mailing address:
  • Phone: 646-358-2557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number012815
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: