Healthcare Provider Details

I. General information

NPI: 1639331739
Provider Name (Legal Business Name): FIRST STEP-OT, SLP & PT-PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 E 18TH ST SUITE 4
BROOKLYN NY
11235-3622
US

IV. Provider business mailing address

2610 E 18TH ST SUITE 4
BROOKLYN NY
11235-3622
US

V. Phone/Fax

Practice location:
  • Phone: 718-332-0080
  • Fax: 718-332-3365
Mailing address:
  • Phone: 718-332-0080
  • Fax: 718-332-3365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number012594
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number017730
License Number StateNY

VIII. Authorized Official

Name: DR. LINA ZHITNIK
Title or Position: DOCTOR
Credential: O.T.
Phone: 718-332-0080