Provider Demographics
NPI:1225190465
Name:O'REILLY, DARLENE PATRICIA (OT)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:PATRICIA
Last Name:O'REILLY
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 1:67 MOUNT SINAI AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2312
Mailing Address - Country:US
Mailing Address - Phone:631-928-3809
Mailing Address - Fax:
Practice Address - Street 1:4089 NESCONSET HWY
Practice Address - Street 2:
Practice Address - City:SOUTH SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11720-1260
Practice Address - Country:US
Practice Address - Phone:631-331-1988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist