Provider Demographics
NPI:1235224551
Name:HEDL, MARIANNE (OTR, CHT)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:HEDL
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:914-779-0184
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:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002235225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQQ7423OtherEMPIRE HEALTHNET
NY1421049OtherUNITED HEALTH CARE
NYP3365224OtherOXFORD INS.
NYQQ7423OtherEMPIRE HEALTHNET