Provider Demographics
NPI:1215945142
Name:GOLIN, TONI I (OTR CHT)
Entity type:Individual
Prefix:MS
First Name:TONI
Middle Name:I
Last Name:GOLIN
Suffix:
Gender:F
Credentials:OTR CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 BANK STREET
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014
Mailing Address - Country:US
Mailing Address - Phone:212-366-9835
Mailing Address - Fax:
Practice Address - Street 1:170 WEST 12TH STREET LINK 103
Practice Address - Street 2:BIK SAINT VINCENTS ORTHOPAEDIC ASSOC PHYSICAL THERAPY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-604-6783
Practice Address - Fax:212-604-2064
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0020731225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q59302Medicare ID - Type Unspecified