Provider Demographics
NPI:1013442797
Name:TESTER OCCUPATIONAL THERAPY P.C.
Entity type:Organization
Organization Name:TESTER OCCUPATIONAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:B
Authorized Official - Last Name:TESTER
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:347-268-2602
Mailing Address - Street 1:464 NEPTUNE AVE
Mailing Address - Street 2:APT#20G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4332
Mailing Address - Country:US
Mailing Address - Phone:347-268-2602
Mailing Address - Fax:
Practice Address - Street 1:464 NEPTUNE AVE
Practice Address - Street 2:APT#20G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4332
Practice Address - Country:US
Practice Address - Phone:347-268-2602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0167441252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency