Provider Demographics
NPI:1679681365
Name:HAND IN HAND REHABILITATION, OT, PC
Entity Type:Organization
Organization Name:HAND IN HAND REHABILITATION, OT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIENZA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:516-333-1481
Mailing Address - Street 1:346 WESTBURY AVE
Mailing Address - Street 2:
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1654
Mailing Address - Country:US
Mailing Address - Phone:516-333-1481
Mailing Address - Fax:516-333-0549
Practice Address - Street 1:346 WESTBURY AVE
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1654
Practice Address - Country:US
Practice Address - Phone:516-333-1481
Practice Address - Fax:516-333-0549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
QTW171Medicare ID - Type Unspecified
NY5427140001Medicare NSC
NY5427140002Medicare NSC