Healthcare Provider Details

I. General information

NPI: 1164710596
Provider Name (Legal Business Name): SUNSHINE RN PT OT SLP & PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 07/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 SPRING VALLEY RD
OSSINING NY
10562-2001
US

IV. Provider business mailing address

15 SPRING VALLEY RD
OSSINING NY
10562-2001
US

V. Phone/Fax

Practice location:
  • Phone: 914-333-7098
  • Fax: 914-762-7054
Mailing address:
  • Phone: 914-333-7098
  • Fax: 914-762-7054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LINDA MOSIELLO
Title or Position: MANAGING MEMBER
Credential:
Phone: 914-333-7098