BAYSIDE OCCUPATIONAL THERAPY PC


Address: 32-45 204th Street, Bayside, NY 11361-1136
Phone: 9173403029

BAYSIDE OCCUPATIONAL THERAPY PC (NPI# 1043738123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043738123
Entity Type Organization
Organization Name BAYSIDE OCCUPATIONAL THERAPY PC
Practice Address 32-45 204th Street
Bayside
NY 11361-1136
Mailing Address 32-45 204th Street
Bayside
NY 11361
Practice Telephone 9173403029
Practice Fax Number 9173403029
Mailing Telephone 9173403029
Enumeration Date 2017-09-08
Last Update Date 2017-09-08
Authorized Official Name VIVIAN W HUANG (PRESIDENT)
Authorized Official Telephone 9173403029
Authorized Official Credential OT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Office Location

Street Address 32-45 204TH STREET
City BAYSIDE
State NY
Zip Code 11361-1136

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1093233694 Karen Trentacosta Registered Nurse 40-04a Bell Boulevard, Bayside, NY 11361 2017-09-03
1801310131 Hee Gi An Dentist 42-05 204th St, Flr 2, Bayside, NY 11361 2017-07-28
1780113050 Miaoying Zhu Social Worker 217-63 Corbett Rd, Bayside, NY 11361 2017-06-08
1679016265 Daniela Ragusa Speech-Language Pathologist 221-21 Corbett Road, Bayside, NY 11361 2016-11-30
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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Competitor

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City BAYSIDE
Zip Code 11361

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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