Provider Demographics
NPI:1508099169
Name:OT PLUS OF NY: OT,PT & SPEECH SERVICES, PLLC
Entity Type:Organization
Organization Name:OT PLUS OF NY: OT,PT & SPEECH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:914-377-8800
Mailing Address - Street 1:1193 WARBURTON AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1002
Mailing Address - Country:US
Mailing Address - Phone:914-377-8800
Mailing Address - Fax:914-377-8700
Practice Address - Street 1:1034 N BROADWAY
Practice Address - Street 2:SUITE 205
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1328
Practice Address - Country:US
Practice Address - Phone:914-377-8800
Practice Address - Fax:914-377-8700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0096321174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty