Healthcare Provider Details

I. General information

NPI: 1962604637
Provider Name (Legal Business Name): HANDSON OCCUPATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 FRANCIS LEWIS BLVD
BAYSIDE NY
11361-3002
US

IV. Provider business mailing address

3636 33RD ST SUITE 403
ASTORIA NY
11106-2329
US

V. Phone/Fax

Practice location:
  • Phone: 718-224-2867
  • Fax: 718-224-3782
Mailing address:
  • Phone: 718-707-0717
  • Fax: 718-707-6977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. GERARD MOUNIC
Title or Position: DIRECTOR OCCUPATIONAL THERAPY
Credential: OT
Phone: 718-224-3867