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Contact Information

RAQUEL M DISLA, MS OTR/L
4277 65TH PLACE
WOODSIDE, NY11377
 Phone: 718-429-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RAQUEL M DISLA · (Female)

NPI # 1326359373
Status Active
Credentials MS OTR/L
Entity Individual
Enumeration date 06/24/2010
Last updated 06/24/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 015566-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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