Provider Demographics
NPI:1639441652
Name:HANDWORKS OT PC
Entity Type:Organization
Organization Name:HANDWORKS OT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:O.T.
Authorized Official - Prefix:
Authorized Official - First Name:MOIRA
Authorized Official - Middle Name:GYTUERREZ
Authorized Official - Last Name:CARINGAL
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:718-888-2600
Mailing Address - Street 1:5830 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5336
Mailing Address - Country:US
Mailing Address - Phone:718-886-8180
Mailing Address - Fax:
Practice Address - Street 1:13939 35TH AVE FL 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3500
Practice Address - Country:US
Practice Address - Phone:718-888-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015529174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYLICENSEOther015529