Faustina Yawa Adza, OTR/L

Individual provider Active NPI Occupational Therapist · Pomona, NY

NPI 1457567208 · NPPES record last updated Mar 2, 2017

Key facts

NPI
1457567208
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
014025-1 (NY)
Practice address
7 Marino Blvd
Pomona, NY 10970-1606
Phone
(845) 521-4373
Fax
(845) 517-0200
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
014025-1NYMDOccupational Therapist
014025NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Homecare Services Inc Occupational Therapist Current
since Dec 1, 2024
Accepting new patients
Basic Blocks Therapeutics Past Accepting new patients

Locations

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 014025-1 NY Yes

Addresses

Primary practice location

7 Marino Blvd
Pomona, NY 10970-1606

Mailing address

7 Marino Blvd
Pomona, NY 10970-3707
Phone (845) 521-4373

Other providers in Pomona, NY

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

Sources for this page

Verify at the official NPI Registry.