Provider Demographics
NPI:1477782878
Name:EXCEL OCCUPATIONAL THERAPY SERVICES PC
Entity Type:Organization
Organization Name:EXCEL OCCUPATIONAL THERAPY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OT
Authorized Official - Prefix:
Authorized Official - First Name:MAYURA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-859-5856
Mailing Address - Street 1:14926 MELBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6241 WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3731
Practice Address - Country:US
Practice Address - Phone:718-424-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty