Healthcare Provider Details

I. General information

NPI: 1124943600
Provider Name (Legal Business Name): MONA OT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3364 NOSTRAND AVE
BROOKLYN NY
11229-4004
US

IV. Provider business mailing address

6055 68TH RD
RIDGEWOOD NY
11385-5156
US

V. Phone/Fax

Practice location:
  • Phone: 134-756-7836
  • Fax: 718-215-9922
Mailing address:
  • Phone: 347-567-8362
  • Fax: 718-215-9922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MONA SAAD
Title or Position: GROUP OWNER
Credential:
Phone: 347-567-8362