Healthcare Provider Details

I. General information

NPI: 1952528630
Provider Name (Legal Business Name): DEBRA LEIGH DANOW MSOTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1468 MADISON AVE MOUNT SINAI MEDICAL CENTER
NEW YORK NY
10029
US

IV. Provider business mailing address

320 E 54TH ST APARTMENT 8B
NEW YORK NY
10022-5030
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-5869
  • Fax:
Mailing address:
  • Phone: 914-715-5868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number011047
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: