Provider Demographics
NPI:1588836225
Name:VICTOR'S OCCUPATIONAL THERAPY SOLUTIONS PC
Entity type:Organization
Organization Name:VICTOR'S OCCUPATIONAL THERAPY SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GENKIN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:347-248-1245
Mailing Address - Street 1:2911 SURF AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1705
Mailing Address - Country:US
Mailing Address - Phone:718-373-0400
Mailing Address - Fax:718-373-0206
Practice Address - Street 1:2911 SURF AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1705
Practice Address - Country:US
Practice Address - Phone:718-373-0400
Practice Address - Fax:718-373-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty