Healthcare Provider Details

I. General information

NPI: 1326923269
Provider Name (Legal Business Name): SALY SAFWAT BEBAWY OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 SOUTHWOODS RD
SYOSSET NY
11791-2901
US

IV. Provider business mailing address

12 SOUTHWOODS RD
SYOSSET NY
11791-2901
US

V. Phone/Fax

Practice location:
  • Phone: 347-725-8036
  • Fax:
Mailing address:
  • Phone: 347-725-8036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: