Provider Demographics
NPI:1033327002
Name:MARIANNE HEDL, OTR, CHT, PLLC
Entity Type:Organization
Organization Name:MARIANNE HEDL, OTR, CHT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEDL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR,
Authorized Official - Phone:718-545-8527
Mailing Address - Street 1:263 READ AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10707-1620
Mailing Address - Country:US
Mailing Address - Phone:913-523-5423
Mailing Address - Fax:
Practice Address - Street 1:3071 29TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2756
Practice Address - Country:US
Practice Address - Phone:718-545-8527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002235225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3365224OtherOXFORD
NYQQ7423OtherEMPIRE HEALTHNET
NY1421049OtherUNITED HEALTH CARE