1528377751 NPI number — OCCUPATIONAL THERAPY SERVICES OF WESTCHESTER, 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 1528377751 NPI number — OCCUPATIONAL THERAPY SERVICES OF WESTCHESTER, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OCCUPATIONAL THERAPY SERVICES OF WESTCHESTER, 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:
WESTCHESTER OCCUPATIONAL THERAPY ASSOCIATES
Provider Other Organization Name Type Code:
3
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:
1528377751
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 BUSINESS PARK DR
Provider Second Line Business Mailing Address:
SUITE 301
Provider Business Mailing Address City Name:
ARMONK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10504-1700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-730-0210
Provider Business Mailing Address Fax Number:
914-730-0220

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 BUSINESS PARK DR
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
ARMONK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10504-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-730-0210
Provider Business Practice Location Address Fax Number:
914-730-0220
Provider Enumeration Date:
10/05/2010

Additional Information

Authorized Official

Authorized Official Last Name:
KACE
Authorized Official First Name:
ELIZA
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
CO-DIRECTOR
Authorized Official Telephone Number:
914-730-0210

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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