Provider Demographics
NPI:1225301476
Name:INFINITY OCCUPATIONAL THERAPY SERVICES PC
Entity Type:Organization
Organization Name:INFINITY OCCUPATIONAL THERAPY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:O
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR/L
Authorized Official - Phone:646-298-4538
Mailing Address - Street 1:7910 34TH AVE
Mailing Address - Street 2:SUITE 6-K
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2437
Mailing Address - Country:US
Mailing Address - Phone:646-298-4538
Mailing Address - Fax:
Practice Address - Street 1:7910 34TH AVE
Practice Address - Street 2:SUITE 6-K
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-2437
Practice Address - Country:US
Practice Address - Phone:646-298-4538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015634251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health