Healthcare Provider Details

I. General information

NPI: 1730044124
Provider Name (Legal Business Name): LAUREN HOPE GILSON MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 BROADWAY
MASSAPEQUA NY
11758-2314
US

IV. Provider business mailing address

66 MARVIN LN
ISLIP NY
11751-4209
US

V. Phone/Fax

Practice location:
  • Phone: 516-799-2900
  • Fax: 516-799-2928
Mailing address:
  • Phone: 516-469-7715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030774-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: