Provider Demographics
NPI:1295808483
Name:HAND THERAPY OF ROCKLAND,OT LLP
Entity type:Organization
Organization Name:HAND THERAPY OF ROCKLAND,OT LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDERBUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-638-2728
Mailing Address - Street 1:254 S MAIN STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3363
Mailing Address - Country:US
Mailing Address - Phone:845-638-2728
Mailing Address - Fax:845-638-1830
Practice Address - Street 1:254 S MAIN STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3363
Practice Address - Country:US
Practice Address - Phone:845-638-2728
Practice Address - Fax:845-638-1830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5598350001Medicare NSC
NYA100018048Medicare PIN