1487960472 NPI number — MRS. DARCY MARIE LEFEVRE COTA

Table of content: MRS. DARCY MARIE LEFEVRE COTA (NPI 1487960472)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487960472 NPI number — MRS. DARCY MARIE LEFEVRE COTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEFEVRE
Provider First Name:
DARCY
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
COTA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRAMLEY
Provider Other First Name:
DARCY
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
COTA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1487960472
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 LOCKHART LN
Provider Second Line Business Mailing Address:
HIGHLAND ELEMENTARY SCHOOL OCCUPATIONAL THERAPY DEPT.
Provider Business Mailing Address City Name:
HIGHLAND
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12528-1008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-691-1070
Provider Business Mailing Address Fax Number:
845-691-1073

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 LOCKHART LN
Provider Second Line Business Practice Location Address:
HIGHLAND ELEMENTARY SCHOOL OCCUPATIONAL THERAPY DEPT.
Provider Business Practice Location Address City Name:
HIGHLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12528-1008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-691-1072
Provider Business Practice Location Address Fax Number:
845-691-1073
Provider Enumeration Date:
08/27/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  002639-1 , 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)