Provider Demographics
NPI:1669478574
Name:NY HAND REHABILITATION OT PC
Entity Type:Organization
Organization Name:NY HAND REHABILITATION OT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/CHT
Authorized Official - Phone:212-472-1000
Mailing Address - Street 1:219 E 69TH ST
Mailing Address - Street 2:STE 1K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5452
Mailing Address - Country:US
Mailing Address - Phone:212-472-1000
Mailing Address - Fax:212-472-1066
Practice Address - Street 1:219 E 69TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5452
Practice Address - Country:US
Practice Address - Phone:212-472-1000
Practice Address - Fax:212-472-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012629-11225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty