Provider Demographics
NPI:1891576922
Name:CONTI, ARIEL SAMANTHA (OT)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:SAMANTHA
Last Name:CONTI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 BELLMORE RD
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-3433
Mailing Address - Country:US
Mailing Address - Phone:516-974-5770
Mailing Address - Fax:
Practice Address - Street 1:600 NORTHERN BLVD STE 311
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5200
Practice Address - Country:US
Practice Address - Phone:516-684-2655
Practice Address - Fax:516-684-2683
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028501225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist