ISLAND ONE OCCUPATIONAL THERAPY, PC


Address: 2769 Coney Island Ave Ste 1b, Brooklyn, NY 11235-5051
Phone: 7189752757

ISLAND ONE OCCUPATIONAL THERAPY, PC (NPI# 1912532706) 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) 1912532706
Entity Type Organization
Organization Name ISLAND ONE OCCUPATIONAL THERAPY, PC
Practice Address 2769 Coney Island Ave Ste 1b
Brooklyn
NY 11235-5051
Mailing Address 76 Orange Ave # 2
Staten Island
NY 10302-2038
Practice Telephone 7189752757
Mailing Telephone 3476035647
Enumeration Date 2020-03-11
Last Update Date 2020-03-11
Authorized Official Name ALRIE OCONNER WAITE (PRESIDENT)
Authorized Official Telephone 3472042173
Authorized Official Credential OT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0100X Clinic/Center
Specialization: Occupational Medicine
Ambulatory Health Care Facilities

Office Location

Street Address 2769 CONEY ISLAND AVE STE 1B
City BROOKLYN
State NY
Zip Code 11235-5051

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Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

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1871804062 Jfk Advanced Medical PC Clinic/Center Jfk Airport Building 75, Suite 247/249, Jamaica, NY 11430 2010-06-23
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Competitor

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City BROOKLYN
Zip Code 11235

Improve Information

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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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