Healthcare Provider Details

I. General information

NPI: 1306090386
Provider Name (Legal Business Name): NICOLE LYNN ABATE-GIOINO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W 86TH ST
NEW YORK NY
10024-3114
US

IV. Provider business mailing address

474 48TH AVE APT 24E
LONG ISLAND CITY NY
11109-5709
US

V. Phone/Fax

Practice location:
  • Phone: 914-939-3143
  • Fax:
Mailing address:
  • Phone: 718-938-0004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number013334-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number013334-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number013334-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number013334-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: