Provider Demographics
NPI:1619239696
Name:RZ OCCUPATIONAL THERAPY PLLC
Entity Type:Organization
Organization Name:RZ OCCUPATIONAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANDEE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:ZERNER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR,CHT,CLT
Authorized Official - Phone:516-732-0081
Mailing Address - Street 1:249 TOWN LINE RD
Mailing Address - Street 2:
Mailing Address - City:E NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-4732
Mailing Address - Country:US
Mailing Address - Phone:631-368-1989
Mailing Address - Fax:631-368-1953
Practice Address - Street 1:340 VETERANS MEMORIAL HWY STE 1
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4300
Practice Address - Country:US
Practice Address - Phone:516-732-0081
Practice Address - Fax:631-326-0984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006038225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100072739Medicare PIN