Provider Demographics
NPI:1700168457
Name:SCHNELLROCK ENTERPRISES INC.
Entity Type:Organization
Organization Name:SCHNELLROCK ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNELLER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:516-398-9428
Mailing Address - Street 1:26 NEWKIRK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-1312
Mailing Address - Country:US
Mailing Address - Phone:516-398-9428
Mailing Address - Fax:516-706-0170
Practice Address - Street 1:26 NEWKIRK AVE
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-1312
Practice Address - Country:US
Practice Address - Phone:516-398-9428
Practice Address - Fax:516-706-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006887225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty