Healthcare Provider Details

I. General information

NPI: 1841705498
Provider Name (Legal Business Name): HAND IN HAND OCCUPATIONAL THERAPY OF LI, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2017
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

764 MIDDLE COUNTRY RD STE 1
SELDEN NY
11784-2503
US

IV. Provider business mailing address

764 MIDDLE COUNTRY RD
SELDEN NY
11784-2503
US

V. Phone/Fax

Practice location:
  • Phone: 631-760-7800
  • Fax: 631-846-9532
Mailing address:
  • Phone: 631-760-7800
  • Fax: 631-846-9532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0178932
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number0178932
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0178932
License Number StateNY

VIII. Authorized Official

Name: MS. NOHA ELFAR
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 631-760-7800