Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Lista

Individual provider Pediatric Occupational Therapist · NPI 1821305681

Jennifer Lista is a Pediatric Occupational Therapist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
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Practice location Address checks out

164 Woehrle Ave
Staten Island, NY 10312-1944
Phone: (917) 733-4919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 015778-1 (NY)

Record details

NPI number1821305681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2010
Last updated in NPPESAugust 31, 2010

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