Tiffany L Boster, OTR/L

Individual provider Active NPI Occupational Therapist · Amsterdam, NY

NPI 1154048890 · NPPES record last updated Oct 24, 2022

Key facts

NPI
1154048890
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
022438-01 (NY)
Practice address
427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone
(518) 842-1900
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
022438-01NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 022438-01 NY Yes

Addresses

Primary practice location

427 Guy Park Ave
Amsterdam, NY 12010-1064

Mailing address

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-1900

Other providers in Amsterdam, NY

All providers in Amsterdam, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.