Active NPIIndividual provider

Mrs. Stacey L Goldman, COTA

Occupational Therapy Assistant in West Haverstraw, New York

NPI Number1063679371
Practice location
51- 55 North Route 9W, West Haverstraw, NY 10993
Fax
845-786-4890
Last updated
May 22, 2008

Stacey Lynn Goldman is an Occupational Therapy Assistant based in West Haverstraw, NY. Stacey Lynn Goldman practices in West Haverstraw, NY and has the professional credentials of COTA. The NPI Number for Stacey Lynn Goldman is 1063679371 and holds a License No. 0040271 (NY). The current practice location address for Stacey Lynn Goldman is 51- 55 North Route 9W, West Haverstraw, NY 10993 and can be reached out via phone at 845-786-4379 and via fax at 845-786-4890.

Provider Profile Details

NPI Number
1063679371
Provider Name
Stacey Lynn Goldman
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
51- 55 North Route 9W, West Haverstraw, NY 10993
Phone Number
845-786-4379
Fax Number
845-786-4890
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2008
Last Update Date
May 22, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
51- 55 North Route 9W
West Haverstraw, NY 10993
Zip
10993
Phone Number
845-786-4379
Fax Number
845-786-4890
West Haverstraw, NY 10993Get directions →

Provider Business Mailing Address Details

Address
51-55 North Route 9W
West Haverstraw, NY 10993
City
West Haverstraw
State
NY
Zip
10993
Phone Number
845-786-4379
Fax Number
845-786-4890

License Information

License Number
0040271
License State
NY
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Stacey L Goldman, COTA?

The NPI number of Mrs. Stacey L Goldman, COTA is 1063679371. It was assigned on May 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stacey L Goldman, COTA?

Mrs. Stacey L Goldman, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 0040271.

Where does Mrs. Stacey L Goldman, COTA practice?

The practice location is 51- 55 North Route 9W, West Haverstraw, NY 10993. The office can be reached at 845-786-4379 (phone) or 845-786-4890 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063679371 directly on the NPPES registry website.

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