Healthcare Provider Details

I. General information

NPI: 1578283784
Provider Name (Legal Business Name): ISABELLA ARDIZZONE OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 WESTCHESTER AVE
PURCHASE NY
10577-2574
US

IV. Provider business mailing address

106 ROCKWELL ST
HARRISON NY
10528-2949
US

V. Phone/Fax

Practice location:
  • Phone: 914-831-4100
  • Fax:
Mailing address:
  • Phone: 914-815-8906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: