Provider Demographics
NPI:1831239896
Name:ZAFFINO, JASON JON (OTR)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:JON
Last Name:ZAFFINO
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
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Mailing Address - Street 1:295 PRIVATE ROAD #27
Mailing Address - Street 2:
Mailing Address - City:SOUTHOLD
Mailing Address - State:NY
Mailing Address - Zip Code:11971-2162
Mailing Address - Country:US
Mailing Address - Phone:631-375-2720
Mailing Address - Fax:631-369-3694
Practice Address - Street 1:1303 ROANOKE AVE
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2748
Practice Address - Country:US
Practice Address - Phone:631-369-3694
Practice Address - Fax:631-369-3694
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY009043-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics