Provider Demographics
NPI:1649425117
Name:OSTROFSKY, PAMELA SUZAN (MS,PT)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:SUZAN
Last Name:OSTROFSKY
Suffix:
Gender:F
Credentials:MS,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5120
Mailing Address - Country:US
Mailing Address - Phone:914-980-6215
Mailing Address - Fax:
Practice Address - Street 1:53 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5120
Practice Address - Country:US
Practice Address - Phone:914-980-6215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0142482251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics