MEDICARE: LYNN BASSINI CERTIFIED HAND THERAPY OT, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	001827	NY

General Provider Information

NPI Number	:	1073965794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYNN BASSINI CERTIFIED HAND THERAPY OT, P.C.

Provider Business Mailing Address
First Line	:	4909 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3386
Country	:	US
Telephone Number	:	718-435-3122
Fax Number	:	718-437-0853

Provider Business Practice Location Address
First Line	:	4909 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3386
Country	:	US
Telephone Number	:	718-435-3122
Fax Number	:	718-437-0853

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LYNN BASSINI
Credential	:	MT, OT/R
Telephone Number	:	718-435-3122

Provider Enumeration Date	:	07/06/2016
Last Update Date	:	07/06/2016

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