Elizabeth Jane Buchanan, OTRL
Individual provider Active NPI Pediatric Occupational Therapist · North Babylon, NY
NPI 1295047181 · NPPES record last updated Jul 8, 2010
Key facts
- NPI
- 1295047181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 004158-1 (NY)
- Practice address
- 122 Alicia Dr
North Babylon, NY 11703-4039 - Phone
- (631) 321-4316
- NPI assigned
- Jul 8, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 004158-1 | NY | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 004158-1 | NY | Yes |
Addresses
Primary practice location
122 Alicia Dr
North Babylon, NY 11703-4039
Mailing address
122 Alicia Dr
North Babylon, NY 11703-4039
Phone (631) 321-4316
Other providers in North Babylon, NY
- Bravo Kids, Inc.
- Norma V Brigido-Zavala
- Maryjo Brosnan
- Caitlin Cara Brown
- Tracy R Brown
- Cac Acupuncture PC
- Cac Acupuncture PC
- Lucette Cadet
- Stephanie Cadet
- Francis X Caimano
All providers in North Babylon, NY · Pediatric Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.