Healthcare Provider Details

I. General information

NPI: 1447488739
Provider Name (Legal Business Name): ELAINE VIVIANNE TOSKOS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 CABRINI BLVD NO. 103
NEW YORK NY
10033-1137
US

IV. Provider business mailing address

160 CABRINI BLVD NO. 103
NEW YORK NY
10033-1137
US

V. Phone/Fax

Practice location:
  • Phone: 212-568-9366
  • Fax:
Mailing address:
  • Phone: 212-568-9366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number0065301
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: