Provider Demographics
NPI:1588965115
Name:BAGINSKI, YVONNE (OTR/L, MS)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:BAGINSKI
Suffix:
Gender:F
Credentials:OTR/L, MS
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:PALIWODA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, MS
Mailing Address - Street 1:4647 159TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3628
Mailing Address - Country:US
Mailing Address - Phone:917-843-1925
Mailing Address - Fax:
Practice Address - Street 1:4647 159TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3628
Practice Address - Country:US
Practice Address - Phone:917-843-1925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011540225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics