Provider Demographics
NPI:1497909857
Name:HARTMAN HAND & OCCUPATIONAL THERAPY OF CLIFTON SPRINGS P.C.
Entity Type:Organization
Organization Name:HARTMAN HAND & OCCUPATIONAL THERAPY OF CLIFTON SPRINGS P.C.
Other - Org Name:EGIDI HAND & OCCUPATIONAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:EGIDI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:315-789-0691
Mailing Address - Street 1:821 PRE EMPTION RD STE 202
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-2061
Mailing Address - Country:US
Mailing Address - Phone:315-789-0691
Mailing Address - Fax:315-789-0693
Practice Address - Street 1:821 PRE EMPTION RD STE 202
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-2061
Practice Address - Country:US
Practice Address - Phone:315-789-0691
Practice Address - Fax:315-789-0693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012136-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA1556Medicare UPIN