Healthcare Provider Details

I. General information

NPI: 1336062348
Provider Name (Legal Business Name): JULIA ROSE HARDSTONE MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 MEADOWBROOK RD
MERRICK NY
11566-1542
US

IV. Provider business mailing address

1987 NEWELL RD
MERRICK NY
11566-1604
US

V. Phone/Fax

Practice location:
  • Phone: 516-992-1000
  • Fax: 516-623-1483
Mailing address:
  • Phone: 516-382-3799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031306
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: