Healthcare Provider Details

I. General information

NPI: 1437451697
Provider Name (Legal Business Name): MINDY GARFINKEL O.T.R./L.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2010
Last Update Date: 11/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 CENTER ST
WILLISTON PARK NY
11596-1051
US

IV. Provider business mailing address

64 THE SERPENTINE
ROSLYN NY
11576-1712
US

V. Phone/Fax

Practice location:
  • Phone: 516-305-8300
  • Fax:
Mailing address:
  • Phone: 516-625-3577
  • Fax: 516-984-6197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number004393-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: