Provider Demographics
NPI:1518285287
Name:DEASE, WILLIAM DANIEL III (OTR)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DANIEL
Last Name:DEASE
Suffix:III
Gender:M
Credentials:OTR
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Mailing Address - Street 1:6800 JERICHO TPKE
Mailing Address - Street 2:SUITE 120W
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4436
Mailing Address - Country:US
Mailing Address - Phone:631-600-3029
Mailing Address - Fax:800-783-5909
Practice Address - Street 1:6800 JERICHO TPKE
Practice Address - Street 2:SUITE 120W
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4436
Practice Address - Country:US
Practice Address - Phone:631-600-3029
Practice Address - Fax:800-783-5909
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2017-02-28
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Provider Licenses
StateLicense IDTaxonomies
NY007477225X00000X, 225XE0001X, 225XE1200X, 225XF0002X, 225XG0600X, 225XN1300X, 225XP0019X, 225XP0200X, 225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility