Provider Demographics
NPI:1184782062
Name:OSEI, LETICIA (COTA)
Entity type:Individual
Prefix:MISS
First Name:LETICIA
Middle Name:
Last Name:OSEI
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9838 57TH AVE APT 7D
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4925
Mailing Address - Country:US
Mailing Address - Phone:718-760-7353
Mailing Address - Fax:
Practice Address - Street 1:550 W 162ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-6001
Practice Address - Country:US
Practice Address - Phone:212-927-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005437-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant