Provider Demographics
NPI:1275891772
Name:ARTISTIC QUALITY THERAPY ASSOCIATES OCCUPATIONAL AND MASSAGE THER PLLC
Entity Type:Organization
Organization Name:ARTISTIC QUALITY THERAPY ASSOCIATES OCCUPATIONAL AND MASSAGE THER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:G
Authorized Official - Last Name:GREEN-DOCTOR
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:212-736-8900
Mailing Address - Street 1:227 W 29TH ST
Mailing Address - Street 2:3R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5210
Mailing Address - Country:US
Mailing Address - Phone:212-736-8900
Mailing Address - Fax:212-736-8158
Practice Address - Street 1:227 W 29TH ST
Practice Address - Street 2:3R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5210
Practice Address - Country:US
Practice Address - Phone:212-736-8900
Practice Address - Fax:212-736-8158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0031871261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation