Provider Demographics
NPI:1265635007
Name:RONALD S. CIACCIA OCCUPATIONAL THERAPIST P.C.
Entity Type:Organization
Organization Name:RONALD S. CIACCIA OCCUPATIONAL THERAPIST P.C.
Other - Org Name:THERAPIA REHABILITATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:SILVIO
Authorized Official - Last Name:CIACCIA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR&L
Authorized Official - Phone:718-259-2618
Mailing Address - Street 1:8728 - 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4526
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8728 16TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4526
Practice Address - Country:US
Practice Address - Phone:718-259-2618
Practice Address - Fax:718-259-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012203320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities