MEDICARE: MS. MARY ANN RUSSOTTI OT/L

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	012765-1	NY

General Provider Information

NPI Number	:	1417278730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY ANN RUSSOTTI OT/L

Provider Business Mailing Address
First Line	:	475 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3006
Country	:	US
Telephone Number	:	718-938-8780
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3006
Country	:	US
Telephone Number	:	718-938-8780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2010
Last Update Date	:	06/21/2010

Similar Medicare Providers

1174689202 — MR. STEPHEN PHILIPSON LCSW
Practice Location Address:

497 4TH ST
BROOKLYN, NY
11215-3006

Practice Phone: 718-499-7284
Practice Fax: 718-499-7284

1518024272 — MS. BARBARA L PHILIPSON LCSW
Practice Location Address:

497 4TH ST
BROOKLYN, NY
11215-3006

Practice Phone: 718-499-1061
Practice Fax: 718-499-7284

1427375831 — MRS. CRISTINA MARIA SEPTIEN OTR/L
Practice Location Address:

475 4TH ST
BROOKLYN, NY
11215-3006

Practice Phone: 201-280-8115
Practice Fax:

1295575827 — MS. ROBERTA LEE SAMET LCSW CLINICAL SOCIAL
Practice Location Address:

483 4TH STREET
BROOKLYN, NY
11215-3006

Practice Phone: 718-344-0081
Practice Fax:

1801745088 — THALIA ANN F BETHEL
Practice Location Address:

1608 E 45TH ST
BROOKLYN, NY
11234-3006

Practice Phone: 347-256-5723
Practice Fax:

1932101185 — DR. RAYMOND STEVEN KRIETCHMAN D.D.S.
Practice Location Address:

1302 81ST ST
BROOKLYN, NY
11228-3006

Practice Phone: 718-331-4337
Practice Fax: 718-837-9365

Directions to “ MS. MARY ANN RUSSOTTI OT/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.