Basic Information
Provider Information
NPI: 1558736264
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AURORA
FirstName: ROLI
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: OTR/L, CHT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1311 MAMARONECK AVE STE 140
Address2:  
City: WHITE PLAINS
State: NY
PostalCode: 106055224
CountryCode: US
TelephoneNumber: 8888304125
FaxNumber: 6315805222
Practice Location
Address1: 1011 CLIFTON AVE
Address2:  
City: CLIFTON
State: NJ
PostalCode: 070133518
CountryCode: US
TelephoneNumber: 9737781134
FaxNumber: 9736141530
Other Information
ProviderEnumerationDate: 12/07/2015
LastUpdateDate: 08/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XH1200X020170NYN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
225XH1200XNJDCATEMP-010321NJN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
225X00000X46TR00959000NJY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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