Provider Demographics
NPI:1396071007
Name:CELESTIAL OCCUPATIONAL THERAPY OF GREAT NECK P.C.
Entity type:Organization
Organization Name:CELESTIAL OCCUPATIONAL THERAPY OF GREAT NECK P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:516-931-6868
Mailing Address - Street 1:54 SUNNYSIDE BLVD
Mailing Address - Street 2:SUITE G-3
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1517
Mailing Address - Country:US
Mailing Address - Phone:516-931-6868
Mailing Address - Fax:516-931-6869
Practice Address - Street 1:54 SUNNYSIDE BLVD
Practice Address - Street 2:SUITE G-3
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1517
Practice Address - Country:US
Practice Address - Phone:516-931-6868
Practice Address - Fax:516-931-6869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty