Healthcare Provider Details

I. General information

NPI: 1659585719
Provider Name (Legal Business Name): NY HAND REHABILITATION OT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 E 69TH ST SUITE 1K
NEW YORK NY
10021-5452
US

IV. Provider business mailing address

219 E 69TH ST SUITE 1K
NEW YORK NY
10021-5452
US

V. Phone/Fax

Practice location:
  • Phone: 212-472-1000
  • Fax: 212-472-1066
Mailing address:
  • Phone: 212-472-1000
  • Fax: 212-472-1066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0634520001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number0634520001
License Number StateNY

VIII. Authorized Official

Name: MS. IVONNE M GARCIA
Title or Position: MEDICAL BILLING
Credential:
Phone: 212-472-1000