Healthcare Provider Details

I. General information

NPI: 1376450874
Provider Name (Legal Business Name): STEPHANIE FIOREY OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W 92ND ST APT BB
NEW YORK NY
10025-7556
US

IV. Provider business mailing address

65 BAY ST APT 3803
JERSEY CITY NJ
07302-1660
US

V. Phone/Fax

Practice location:
  • Phone: 212-595-1705
  • Fax:
Mailing address:
  • Phone: 718-909-5938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031313
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: