1619186376 NPI number — HAND&OCCUPATIONAL THERAPY,PC

Table of content: DR. TAMICA ANN DAY PHARMD (NPI 1457860595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619186376 NPI number — HAND&OCCUPATIONAL THERAPY,PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAND&OCCUPATIONAL THERAPY,PC
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:
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:
1619186376
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
188 W MONTAUK HWY
Provider Second Line Business Mailing Address:
SUITE E6
Provider Business Mailing Address City Name:
HAMPTON BAYS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11946-2363
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-728-7875
Provider Business Mailing Address Fax Number:
631-728-8204

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
188 W MONTAUK HWY
Provider Second Line Business Practice Location Address:
SUITE E6
Provider Business Practice Location Address City Name:
HAMPTON BAYS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11946-2363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-728-7875
Provider Business Practice Location Address Fax Number:
631-728-8204
Provider Enumeration Date:
05/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CASH
Authorized Official First Name:
CORNELIUS
Authorized Official Middle Name:
F
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
631-728-7875

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  005924-1 , 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)

  • Identifier: 210401 . This is a "ETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 93542 . This is a "VYTRA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01949733 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 99710 . This is a "SIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: AZ00901 . This is a "MDNY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P1272767 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 201388 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 941863 . This is a "ACN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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