Provider Demographics
NPI:1699211383
Name:MULCAHY, ALLY KATHERINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALLY
Middle Name:KATHERINE
Last Name:MULCAHY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 WELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1219
Mailing Address - Country:US
Mailing Address - Phone:516-690-1906
Mailing Address - Fax:
Practice Address - Street 1:202 WELLINGTON RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1219
Practice Address - Country:US
Practice Address - Phone:516-690-1906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020929-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist