Healthcare Provider Details

I. General information

NPI: 1538082615
Provider Name (Legal Business Name): MEREDITH AMBER LEE OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 S BROADWAY
YONKERS NY
10701-4004
US

IV. Provider business mailing address

26 ENGLEWOOD AVE
NANUET NY
10954-3201
US

V. Phone/Fax

Practice location:
  • Phone: 914-751-0406
  • Fax: 914-207-2286
Mailing address:
  • Phone: 845-598-4614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031268
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: