Healthcare Provider Details

I. General information

NPI: 1669624995
Provider Name (Legal Business Name): ELIZABETH ANN MEYER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 05/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 N BROADWAY
YONKERS NY
10701-1303
US

IV. Provider business mailing address

54 TWIN LAKES RD
SOUTH SALEM NY
10590-1009
US

V. Phone/Fax

Practice location:
  • Phone: 914-377-8800
  • Fax: 914-377-8700
Mailing address:
  • Phone: 646-202-3377
  • Fax: 914-377-8700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number009632-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: