Provider Demographics
NPI:1053573345
Name:JUNEAR H. RAJWANT OCCUPATIONAL THERAPIST, P.C.
Entity type:Organization
Organization Name:JUNEAR H. RAJWANT OCCUPATIONAL THERAPIST, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JUNEAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAJWANT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:347-668-3902
Mailing Address - Street 1:20 WEST ST
Mailing Address - Street 2:APT 41E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1217
Mailing Address - Country:US
Mailing Address - Phone:347-668-3902
Mailing Address - Fax:
Practice Address - Street 1:10620 SHORE FRONT PKWY
Practice Address - Street 2:
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694-2639
Practice Address - Country:US
Practice Address - Phone:347-668-3902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012190-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty