MEDICARE: WILSON AYZENBERG OT PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1972310365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILSON AYZENBERG OT PC

Provider Business Mailing Address
First Line	:	386 17TH ST APT 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-6122
Country	:	US
Telephone Number	:	347-753-4446
Fax Number	:

Provider Business Practice Location Address
First Line	:	386 17TH ST APT 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-6122
Country	:	US
Telephone Number	:	347-753-4446
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILSON DAVID AYZENBERG
Credential	:
Telephone Number	:	347-753-4446

Provider Enumeration Date	:	12/18/2024
Last Update Date	:	12/18/2024

Similar Medicare Providers

1982131652 — NHS SERVICES INC
Practice Location Address:

711 DUNNE CT
BROOKLYN, NY
11235-6122

Practice Phone: 646-331-8876
Practice Fax:

1750950978 — MISS LAUREN ELENA WEISSBERG BSN, RN-BC
Practice Location Address:

6619 13TH AVE
BROOKLYN, NY
11219-6122

Practice Phone: 347-970-9164
Practice Fax:

1063189181 — REMOTE MEDICAL PC
Practice Location Address:

6619 13TH AVE
BROOKLYN, NY
11219-6122

Practice Phone: 718-795-4000
Practice Fax:

1780495556 — TIFFANY GOODSON SELBY
Practice Location Address:

1193 EASTERN PKWY APT 2C
BROOKLYN, NY
11213-6122

Practice Phone: 917-772-7770
Practice Fax:

1891642039 — BETH NIESTEMSKI LCSW
Practice Location Address:

PO BOX 150159
BROOKLYN, NY
11215-0159

Practice Phone: 203-499-7600
Practice Fax:

1134076375 — DANIEL KAMINSKY LMSW
Practice Location Address:

257 15TH ST
BROOKLYN, NY
11215-4988

Practice Phone: 347-756-2069
Practice Fax:

Directions to “WILSON AYZENBERG OT PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.