1043468226 NPI number — OCCUPATIONAL THERAPY PLUS, P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043468226 NPI number — OCCUPATIONAL THERAPY PLUS, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OCCUPATIONAL THERAPY PLUS, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043468226
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/31/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
118 BROOK TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWOOD LAKE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10925-4210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-477-2031
Provider Business Mailing Address Fax Number:
845-477-2031

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 GLENWOOD AVE
Provider Second Line Business Practice Location Address:
#22-H
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10701-2164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-374-3704
Provider Business Practice Location Address Fax Number:
914-476-7378
Provider Enumeration Date:
08/31/2008

Additional Information

Authorized Official

Authorized Official Last Name:
DARIEN
Authorized Official First Name:
JANICE
Authorized Official Middle Name:
CLAIRE
Authorized Official Title or Position:
ADMINSTRATOR, C.E.O.
Authorized Official Telephone Number:
914-374-3704

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X , with the licence number:  08266 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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