Provider Demographics
NPI:1861805699
Name:ELFAR, NOHA ALADDIN (OTR/L)
Entity type:Individual
Prefix:MS
First Name:NOHA
Middle Name:ALADDIN
Last Name:ELFAR
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 1:61 MASTIC BLVD WEST
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-3149
Mailing Address - Country:US
Mailing Address - Phone:631-902-4375
Mailing Address - Fax:
Practice Address - Street 1:61 MASTIC BLVD W
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-2241
Practice Address - Country:US
Practice Address - Phone:631-902-4375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2017-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00569200225X00000X
NY017832-1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist