Healthcare Provider Details

I. General information

NPI: 1558978882
Provider Name (Legal Business Name): ADRIENNE N. DURANTE COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2020
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 VIOLA DR
GLEN COVE NY
11542-3325
US

IV. Provider business mailing address

59 VIOLA DR
GLEN COVE NY
11542-3325
US

V. Phone/Fax

Practice location:
  • Phone: 516-660-2252
  • Fax:
Mailing address:
  • Phone: 516-660-2252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number0131002332
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOP009936
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: