Provider Demographics
NPI:1629639786
Name:DOREEN DALY OT PC
Entity Type:Organization
Organization Name:DOREEN DALY OT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:DALY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, OTR/L C/NDT
Authorized Official - Phone:917-748-2466
Mailing Address - Street 1:1022 78TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2612
Mailing Address - Country:US
Mailing Address - Phone:917-748-2466
Mailing Address - Fax:718-748-7003
Practice Address - Street 1:1022 78TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2612
Practice Address - Country:US
Practice Address - Phone:917-748-2466
Practice Address - Fax:718-748-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental ModificationGroup - Single Specialty