Provider Demographics
NPI:1649425968
Name:ENGLANDER, AMY BETH (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BETH
Last Name:ENGLANDER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MARBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1823
Mailing Address - Country:US
Mailing Address - Phone:516-812-5080
Mailing Address - Fax:516-812-5080
Practice Address - Street 1:6 MARBRIDGE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1823
Practice Address - Country:US
Practice Address - Phone:516-812-5080
Practice Address - Fax:516-812-5080
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007732-1172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker