Healthcare Provider Details

I. General information

NPI: 1043759293
Provider Name (Legal Business Name): SHAINA BENRIMON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E 57TH ST 19C
NEW YORK NY
10022-2947
US

IV. Provider business mailing address

303 E 57TH ST 19C
NEW YORK NY
10022-2947
US

V. Phone/Fax

Practice location:
  • Phone: 323-841-3757
  • Fax:
Mailing address:
  • Phone: 323-841-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number021253
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number021253
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number021253
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License Number021253
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number021253
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number021253
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number021253
License Number StateNY
# 8
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number021253
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: