Provider Demographics
NPI:1558995225
Name:VARGAS, ROSEMARY (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:VARGAS
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 1:1223 LANGDON BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3317
Mailing Address - Country:US
Mailing Address - Phone:516-343-4439
Mailing Address - Fax:
Practice Address - Street 1:100 BALDWIN RD
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-6844
Practice Address - Country:US
Practice Address - Phone:516-538-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023965225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist