Provider Demographics
NPI:1033211735
Name:SARRANTONIO, DENISE MARIE (OT)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:SARRANTONIO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2412 KNOB HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2117
Mailing Address - Country:US
Mailing Address - Phone:516-785-2760
Mailing Address - Fax:516-785-2760
Practice Address - Street 1:2412 KNOB HILL RD
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-2117
Practice Address - Country:US
Practice Address - Phone:516-785-2760
Practice Address - Fax:516-785-2760
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002473174400000X
NY004815-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist