1548488976 NPI number — PAMELA A. LAWTON MA, OT, CHT HAND & UPPER EXT. REHAB., PLLC

Table of content: (NPI 1548488976)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548488976 NPI number — PAMELA A. LAWTON MA, OT, CHT HAND & UPPER EXT. REHAB., PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAMELA A. LAWTON MA, OT, CHT HAND & UPPER EXT. REHAB., PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HEIGHTS HAND THERAPY OT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548488976
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 COURT ST
Provider Second Line Business Mailing Address:
SUITE 1208
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11201-4859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-875-4030
Provider Business Mailing Address Fax Number:
718-875-6312

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 COURT ST
Provider Second Line Business Practice Location Address:
SUITE 1208
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11201-4859
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-875-4030
Provider Business Practice Location Address Fax Number:
718-875-6312
Provider Enumeration Date:
04/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LAWTON
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
ANITA
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
718-875-4030

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  2674 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com