Provider Demographics
NPI:1992063622
Name:SILLMAN, FAYGIE CHANA (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:FAYGIE
Middle Name:CHANA
Last Name:SILLMAN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:FAYGIE
Other - Middle Name:CHANA
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8440 101ST ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1109
Mailing Address - Country:US
Mailing Address - Phone:718-846-0454
Mailing Address - Fax:
Practice Address - Street 1:8440 101ST ST
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1109
Practice Address - Country:US
Practice Address - Phone:718-846-0454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013755-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist