Provider Demographics
NPI:1659879682
Name:OCCUPATIONAL AND SPEECH THERAPY SERVICES OF ROCKAWAY P.C.
Entity Type:Organization
Organization Name:OCCUPATIONAL AND SPEECH THERAPY SERVICES OF ROCKAWAY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:AYROVAINEN
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:516-662-9070
Mailing Address - Street 1:212 BEACH 133RD ST
Mailing Address - Street 2:
Mailing Address - City:BELLE HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1436
Mailing Address - Country:US
Mailing Address - Phone:516-662-9070
Mailing Address - Fax:
Practice Address - Street 1:212 BEACH 133RD ST
Practice Address - Street 2:
Practice Address - City:BELLE HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11694-1436
Practice Address - Country:US
Practice Address - Phone:516-662-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency