Provider Demographics
NPI:1528232360
Name:ALICIA G EPSTEIN
Entity Type:Organization
Organization Name:ALICIA G EPSTEIN
Other - Org Name:WOODBURY HAND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR, CHT
Authorized Official - Phone:516-802-3470
Mailing Address - Street 1:144 WOODBURY RD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1418
Mailing Address - Country:US
Mailing Address - Phone:516-802-3470
Mailing Address - Fax:516-692-4982
Practice Address - Street 1:400 W MAIN ST
Practice Address - Street 2:#109
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3012
Practice Address - Country:US
Practice Address - Phone:631-893-1957
Practice Address - Fax:631-893-1958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0030011332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
0877520002Medicare NSC