Provider Demographics
NPI:1073965794
Name:LYNN BASSINI CERTIFIED HAND THERAPY OT, P.C.
Entity Type:Organization
Organization Name:LYNN BASSINI CERTIFIED HAND THERAPY OT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:BASSINI
Authorized Official - Suffix:
Authorized Official - Credentials:MT, OT/R
Authorized Official - Phone:718-435-3122
Mailing Address - Street 1:4909 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3386
Mailing Address - Country:US
Mailing Address - Phone:718-435-3122
Mailing Address - Fax:718-437-0853
Practice Address - Street 1:4909 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3386
Practice Address - Country:US
Practice Address - Phone:718-435-3122
Practice Address - Fax:718-437-0853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001827225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty