Provider Demographics
NPI:1205071420
Name:ANCI, AMIE MARIE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:MARIE
Last Name:ANCI
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 1:270 8TH AVE
Mailing Address - Street 2:APARTMENT 4
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579-1153
Mailing Address - Country:US
Mailing Address - Phone:516-457-7259
Mailing Address - Fax:
Practice Address - Street 1:270 8TH AVE
Practice Address - Street 2:APARTMENT 4
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-1153
Practice Address - Country:US
Practice Address - Phone:516-457-7259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013270225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics