Provider Demographics
NPI:1528203395
Name:CHILESKY, ELAINE PATRICIA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:PATRICIA
Last Name:CHILESKY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:LOCUST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11560-2345
Mailing Address - Country:US
Mailing Address - Phone:516-671-2749
Mailing Address - Fax:
Practice Address - Street 1:146 OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:LOCUST VALLEY
Practice Address - State:NY
Practice Address - Zip Code:11560-2345
Practice Address - Country:US
Practice Address - Phone:516-671-2749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012481-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist