Provider Demographics
NPI:1699084822
Name:ZAFRAN, PHYLLIS LEE I (OT)
Entity type:Individual
Prefix:MRS
First Name:PHYLLIS
Middle Name:LEE
Last Name:ZAFRAN
Suffix:I
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 DIVNEY LN
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1403
Mailing Address - Country:US
Mailing Address - Phone:914-591-2012
Mailing Address - Fax:
Practice Address - Street 1:9 DIVNEY LN
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1403
Practice Address - Country:US
Practice Address - Phone:914-591-2012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002223-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist