Individual provider Active NPI

Leora Golda Goldhirsch

  • Occupational Therapist
  • Valley Stream, NY
National Provider Identifier
1265670657
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
004975-1 Issued in NY
Practice address
881 Cliffside Ave
Valley Stream, NY 11581-3001
Phone
(516) 791-0027
NPI assigned
Jan 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004975-1 NY Primary

Addresses

Primary practice location

881 Cliffside Ave
Valley Stream, NY 11581-3001

Mailing address

881 Cliffside Ave
Valley Stream, NY 11581-3001
Phone (516) 791-0027

Other names 1

  • Leora Golda Goldhirsch Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004975-1NYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1265670657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 CLIFFSIDE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813001",
            "telephone_number": "516-791-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 CLIFFSIDE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813001",
            "telephone_number": "516-791-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDHIRSCH",
        "first_name": "LEORA",
        "middle_name": "GOLDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004975-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEORA",
            "last_name": "GOLDHIRSCH",
            "middle_name": "GOLDA",
            "credential": "O.T.R.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.