1881961597 NPI number — ABILITY HR HAND THERAPY, OT AND PT PLLC

Table of content: (NPI 1881961597)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881961597 NPI number — ABILITY HR HAND THERAPY, OT AND PT PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABILITY HR HAND THERAPY, OT AND PT PLLC
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:
ABILITY HEALING RAYS HAND THERAPY, OT AND PT
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:
1881961597
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
813 QUENTIN ROAD STE 106
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11223-2219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-627-8100
Provider Business Mailing Address Fax Number:
718-336-1962

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
245 E 84TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10028-2973
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-392-9200
Provider Business Practice Location Address Fax Number:
212-288-8804
Provider Enumeration Date:
11/23/2011

Additional Information

Authorized Official

Authorized Official Last Name:
BARON
Authorized Official First Name:
BENJAMIN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
516-732-1950

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  023422 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251X0800X , with the licence number: 023422 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X , with the licence number: 015495 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225XH1200X , with the licence number: 015495 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XP0019X , with the licence number: 015495 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XP0200X , with the licence number: 015495 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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