MEDICARE: EAST END OCCUPATIONAL THERAPY, PLLC

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	261QM1300X	Multi-Specialty Clinic/Center	017178-1	NY

General Provider Information

NPI Number	:	1649531567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST END OCCUPATIONAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	868 CHURCH ST STE 4
Second Line	:
City	:	BOHEMIA
State	:	NY
Zip	:	11716-5021
Country	:	US
Telephone Number	:	631-676-4185
Fax Number	:	631-676-4186

Provider Business Practice Location Address
First Line	:	868 CHURCH ST STE 4
Second Line	:
City	:	BOHEMIA
State	:	NY
Zip	:	11716-5021
Country	:	US
Telephone Number	:	631-676-4185
Fax Number	:	631-676-4186

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST- OWNER
Name	:	ANTHONY J MARULLO
Credential	:	MS OTR-L
Telephone Number	:	631-676-4185

Provider Enumeration Date	:	06/07/2012
Last Update Date	:	04/28/2023

Similar Medicare Providers

1356335434 — DR. MICHAEL ELLIOT KARP M.D.
Practice Location Address:

868 CHURCH ST STE 2
BOHEMIA, NY
11716-5021

Practice Phone: 631-665-4781
Practice Fax: 631-665-4793

1376815456 — ANTHONY J MARULLO MS,OTR/L
Practice Location Address:

868 CHURCH ST STE 4
BOHEMIA, NY
11716-5021

Practice Phone: 631-676-4185
Practice Fax: 631-676-4186

1891554739 — RMD PEARL DENTAL PLLC
Practice Location Address:

868 CHURCH ST STE 1
BOHEMIA, NY
11716-5021

Practice Phone: 413-835-5206
Practice Fax:

1780411348 — KAITLYN F BROWN OTR/L
Practice Location Address:

868 CHURCH ST STE 4
BOHEMIA, NY
11716-5021

Practice Phone: 631-676-4185
Practice Fax:

1356150379 — KEVIN REYES
Practice Location Address:

868 CHURCH ST
BOHEMIA, NY
11716-5021

Practice Phone: 631-676-4185
Practice Fax:

1891647301 — NAVJEET JAMMU
Practice Location Address:

4875 SUNRISE HWY STE 302
BOHEMIA, NY
11716-4630

Practice Phone: 631-343-4184
Practice Fax:

Directions to “EAST END OCCUPATIONAL THERAPY, PLLC ” 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.