Carmen Faye-Sanford Vianese

Individual provider Active NPI Occupational Therapy Assistant · Perry, NY

NPI 1487046033 · NPPES record last updated Feb 19, 2015

Key facts

NPI
1487046033
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
001819-1 (NY)
Practice address
7059 Standpipe Rd
Perry, NY 14530-9616
Phone
(585) 237-2230
Fax
(585) 237-5949
NPI assigned
Feb 19, 2015
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
001819-1NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 001819-1 NY Yes

Addresses

Primary practice location

7059 Standpipe Rd
Perry, NY 14530-9616

Mailing address

7059 Standpipe Rd
Perry, NY 14530-9616
Phone (585) 237-2230

Other providers in Perry, NY

All providers in Perry, NY · Occupational Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.