Provider Demographics
NPI:1013490481
Name:SHOSHANA GELMAN OCCUPATIONAL THERAPIST PLLC
Entity Type:Organization
Organization Name:SHOSHANA GELMAN OCCUPATIONAL THERAPIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR/L
Authorized Official - Prefix:
Authorized Official - First Name:SHOSHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:516-316-9174
Mailing Address - Street 1:27 COPPERBEECH LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-2605
Mailing Address - Country:US
Mailing Address - Phone:516-316-9174
Mailing Address - Fax:
Practice Address - Street 1:114 HARDS LN
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1315
Practice Address - Country:US
Practice Address - Phone:516-569-1015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty