Provider Demographics
NPI:1063670123
Name:OCCUPATIONAL THERAPY ASSOCIATES OF NEW YORK PLLC
Entity Type:Organization
Organization Name:OCCUPATIONAL THERAPY ASSOCIATES OF NEW YORK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SANGREGORIO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:718-319-1740
Mailing Address - Street 1:1250 WATERS PLACE
Mailing Address - Street 2:STE. 501
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2720
Mailing Address - Country:US
Mailing Address - Phone:718-319-1740
Mailing Address - Fax:718-319-1741
Practice Address - Street 1:1250 WATERS PLACE
Practice Address - Street 2:STE. 501
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:718-319-1740
Practice Address - Fax:718-319-1741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty