Healthcare Provider Details

I. General information

NPI: 1063304590
Provider Name (Legal Business Name): ALL ABOVE THERAPY OT SLP PT PSY ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY # 7576
ALBANY NY
12207-2922
US

IV. Provider business mailing address

418 BROADWAY # 7576
ALBANY NY
12207-2922
US

V. Phone/Fax

Practice location:
  • Phone: 917-672-6212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DONNABELLE LORENZO
Title or Position: OWNER
Credential:
Phone: 516-727-5369