Provider Demographics
NPI:1659798445
Name:MARCOTTE, MEREDYTHE MARGRET (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:MEREDYTHE
Middle Name:MARGRET
Last Name:MARCOTTE
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 W 82ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5503
Mailing Address - Country:US
Mailing Address - Phone:212-933-4191
Mailing Address - Fax:
Practice Address - Street 1:127 W 82ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5503
Practice Address - Country:US
Practice Address - Phone:212-933-4191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018717225XP0200X
FLOT 16192225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics