Provider Demographics
NPI:1306422787
Name:JONAS, ELANA ZAHAVA (OTR/L)
Entity type:Individual
Prefix:
First Name:ELANA
Middle Name:ZAHAVA
Last Name:JONAS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5235 BLACKSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2833
Mailing Address - Country:US
Mailing Address - Phone:718-887-6720
Mailing Address - Fax:
Practice Address - Street 1:5235 BLACKSTONE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2833
Practice Address - Country:US
Practice Address - Phone:718-887-6720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023870225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist