Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARY MAI IWANENKO, MS, OTR/L, ATP, SI/C

Active

MRS. MARY MAI IWANENKO, MS, OTR/L, ATP, SI/C is a Specialist healthcare provider located in LACKAWANNA, New York. NPI 1811173990 is currently active in the NPPES registry. Verify at CMS.

Specialist · LACKAWANNA, NY

Registration Details

NPI Number: 1811173990
Provider Type: Individual
Gender: Female
NPI Issued: Jan 18, 2008 (18.539473206797 yrs)
Last Updated: Jan 18, 2008
License: 006633-1 (NY)

Practice Information

Address: 1025 RIDGE RD

LACKAWANNA, NY, 142181755
Browse NY providers · Browse ZIP 14218
Phone: 7168224781
Fax: 7163628989
Primary Specialty: Specialist
174400000X

Other Specialist Providers in LACKAWANNA, NY

Name	Credential	NPI
LUIZA PODLESNY	PT, MPT	1730367764
KEITH CHARLES FRAAS	PT	1841478104
MRS. JENNIFER ANNE MOLEA	MS OTR/L	1548427552
MRS. KAREN JO GOLDWATER	OT	1952569907
NAFEESA MUSSA	MS, OTR/L	1427218155
MR. KARL N. SHEFFIELD	SCHOOL PSYCHOLOGIST	1144478587

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.