Healthcare Provider Details

I. General information

NPI: 1598106734
Provider Name (Legal Business Name): REBECCA ANN REICHLING MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N VILLAGE AVE
ROCKVILLE CENTRE NY
11570-1000
US

IV. Provider business mailing address

78 2ND ST APARTMENT 2
MINEOLA NY
11501-3008
US

V. Phone/Fax

Practice location:
  • Phone: 516-705-2630
  • Fax: 516-705-2010
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number63 017033
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: