Healthcare Provider Details

I. General information

NPI: 1346033750
Provider Name (Legal Business Name): NT NYC MEDICAL PRACTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 JAEGGER DR
GLEN HEAD NY
11545-1825
US

IV. Provider business mailing address

12 JAEGGER DR
GLEN HEAD NY
11545-1825
US

V. Phone/Fax

Practice location:
  • Phone: 516-697-7318
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: PEPIE LAPSATIS
Title or Position: OCCUPATIONAL THERAPY DIRECTOR
Credential:
Phone: 917-660-0879