Healthcare Provider Details

I. General information

NPI: 1447528625
Provider Name (Legal Business Name): DALU OCCUPATIONAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 12/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 NORTHERN PKWY E
PLAINVIEW NY
11803-2007
US

IV. Provider business mailing address

9 NORTHERN PKWY E
PLAINVIEW NY
11803-2007
US

V. Phone/Fax

Practice location:
  • Phone: 516-333-3642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number011398-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. DARA J DONEWITZ
Title or Position: CEO
Credential: MA, OTR/L
Phone: 516-333-3642