Provider Demographics
NPI:1386953297
Name:NASH, MOLLY C (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:C
Last Name:NASH
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:C
Other - Last Name:DOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:440 E. 20TH ST
Mailing Address - Street 2:APT ME
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009
Mailing Address - Country:US
Mailing Address - Phone:646-342-3288
Mailing Address - Fax:
Practice Address - Street 1:440 E 20TH ST
Practice Address - Street 2:APT. ME
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-8208
Practice Address - Country:US
Practice Address - Phone:646-342-3288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016217225X00000X
NY016217-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist