Healthcare Provider Details

I. General information

NPI: 1033031455
Provider Name (Legal Business Name): SAINA GOSWAMI OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3391 RICHMOND AVE
STATEN ISLAND NY
10312-2025
US

IV. Provider business mailing address

29 KILREA WAY
BRAMPTON ON
L6X 0R1
CA

V. Phone/Fax

Practice location:
  • Phone: 718-608-9170
  • Fax: 718-608-9179
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031255
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: