Healthcare Provider Details

I. General information

NPI: 1508005521
Provider Name (Legal Business Name): HOLLY RAMNARINE MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2009
Last Update Date: 02/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11423 SUTTER AVE
SOUTH OZONE PARK NY
11420-2322
US

IV. Provider business mailing address

11423 SUTTER AVE
SOUTH OZONE PARK NY
11420-2322
US

V. Phone/Fax

Practice location:
  • Phone: 631-872-3961
  • Fax:
Mailing address:
  • Phone: 631-872-3961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number014446
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: