Provider Demographics
NPI:1962010629
Name:CREATE ABILITIES OF NY OCCUPATIONAL THERAPY, PLLC
Entity Type:Organization
Organization Name:CREATE ABILITIES OF NY OCCUPATIONAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTORE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, OTR/L
Authorized Official - Phone:914-337-0034
Mailing Address - Street 1:81 PONDFIELD RD STE 5
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3817
Mailing Address - Country:US
Mailing Address - Phone:914-337-0034
Mailing Address - Fax:
Practice Address - Street 1:81 PONDFIELD RD STE 5
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3817
Practice Address - Country:US
Practice Address - Phone:914-337-0034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty