Healthcare Provider Details
I. General information
NPI: 1760376446
Provider Name (Legal Business Name): PUZZLEPALS THERAPY CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1854 HYLAN BLVD STE 2
STATEN ISLAND NY
10305-2119
US
IV. Provider business mailing address
2390 MCDONALD AVE UNIT 1
BROOKLYN NY
11223-4740
US
V. Phone/Fax
- Phone: 917-553-0424
- Fax:
- Phone: 646-744-6162
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OKSANA
LENDEL
Title or Position: PRESIDENT
Credential: MSED
Phone: 646-744-6162