Healthcare Provider Details

I. General information

NPI: 1720911274
Provider Name (Legal Business Name): PRYCE PRECISION OT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13318 LAURELTON PKWY
ROSEDALE NY
11422-1316
US

IV. Provider business mailing address

13318 LAURELTON PKWY
ROSEDALE NY
11422-1316
US

V. Phone/Fax

Practice location:
  • Phone: 347-463-5876
  • Fax:
Mailing address:
  • Phone: 347-463-5876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANDRE PRYCE
Title or Position: PRESIDENT
Credential: OTR/L
Phone: 347-463-5876