Irene None Mykoliw, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004862-1 Issued in NY

Practice address

465 Grand St FL 3
New York City, NY 10002-4800

Phone

(212) 420-1999

Fax

(212) 420-1910

NPI assigned

Dec 17, 2008

Last updated

Dec 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1699911917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 EAST 7TH ST",
            "address_2": "APARTMENT 14",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100038482",
            "telephone_number": "212-979-6456",
            "fax_number": "212-979-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 GRAND ST FL 3",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100024800",
            "telephone_number": "212-420-1999",
            "fax_number": "212-420-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYKOLIW",
        "first_name": "IRENE",
        "middle_name": "NONE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004862-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanya Moreno Ortega, M.D
• Barbara H Morrison, MA MIP LMFT
• Sherif Ashraf Mostafa, M.D.
• Hamid Y Mouallem, MD
• Hung Chong Lee Mui, M.A.
• Sandia Devi Naidoo, LMSW
• Wendy Suzuko Nakashima, CNM
• Rehan Naseer Ahmad
• Lense Gelaneh Negash, M.D
• Sandhya Kiran Neupane, M.D.

• Occupational Therapist in New York City, NY
• Providers in New York City, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.