Healthcare Provider Details

I. General information

NPI: 1427202993
Provider Name (Legal Business Name): ANTOINETTE A CELETTI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 ANOROC COURT
CONGERS NY
10920-2601
US

IV. Provider business mailing address

7 ANOROC CT
CONGERS NY
10920-2601
US

V. Phone/Fax

Practice location:
  • Phone: 845-268-0138
  • Fax: 845-598-0008
Mailing address:
  • Phone: 845-268-0138
  • Fax: 845-598-0008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number007294-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number007294-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: