Dassy Liana Kofman, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

015430 Issued in NY

Practice address

142 W Beech St
Long Beach, NY 11561-3304

Phone

(347) 647-0855

NPI assigned

Jun 29, 2010

Last updated

Dec 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1558672055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WYKAGYL TER",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043206",
            "telephone_number": "347-647-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W BEECH ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613304",
            "telephone_number": "347-647-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFMAN",
        "first_name": "DASSY",
        "middle_name": "LIANA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "015430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole J Kliegman, M.S.
• Lisa G. Klus, MA CCC SLP
• Lawrence F Kobak, D.P.M.
• William Joseph Kobza, D.D.S.
• Colleen Kocher, BCBA, LBA
• Jennifer Kolonkowski
• Komanoff Center for Geriatric & Rehab Medicine (The Komanoff Center for Geriatric & Rehabilitative Medicine)
• Rebecca Kooper, AUDIOLOGIST
• Chelsea Brooke Korenberg, LPMHC
• Henry W Korn, DDS

• Pediatric Occupational Therapist in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.