Provider Demographics
NPI:1902539018
Name:NAHAR, VALENTINA ANDREA (COTA)
Entity Type:Individual
Prefix:
First Name:VALENTINA
Middle Name:ANDREA
Last Name:NAHAR
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 1:660 DAY AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2721
Mailing Address - Country:US
Mailing Address - Phone:973-938-3930
Mailing Address - Fax:
Practice Address - Street 1:1181 NELSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-3602
Practice Address - Country:US
Practice Address - Phone:973-938-3930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty