Provider Demographics
NPI:1588960769
Name:RYBCZYNSKI, EMILY M (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:M
Last Name:RYBCZYNSKI
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 1:256 DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-2706
Mailing Address - Country:US
Mailing Address - Phone:716-598-0457
Mailing Address - Fax:
Practice Address - Street 1:354 N LEGION DR APT 2
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14210-2377
Practice Address - Country:US
Practice Address - Phone:716-336-0440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016542225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist