Healthcare Provider Details

I. General information

NPI: 1720030125
Provider Name (Legal Business Name): CAROL A HOHOWSKI OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 BROADWAY SUITE 100
MASSAPEQUA NY
11758-2388
US

IV. Provider business mailing address

690 BROADWAY SUITE 100
MASSAPEQUA NY
11758-2388
US

V. Phone/Fax

Practice location:
  • Phone: 516-798-1722
  • Fax: 516-798-1911
Mailing address:
  • Phone: 516-798-1722
  • Fax: 516-798-1911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number004981-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: