MEDICARE: H&D DYNAMIC PHYSICAL & OCCUPATIONAL THERAPY, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	225XH1200X	Hand Occupational Therapist
3	261QP2000X	Physical Therapy Clinic/Center
4	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1699926139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H&D DYNAMIC PHYSICAL & OCCUPATIONAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	815 2ND AVE STE 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-4503
Country	:	US
Telephone Number	:	212-292-3858
Fax Number	:	212-953-1353

Provider Business Practice Location Address
First Line	:	62 E 88TH ST LOWR LEVEL
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1151
Country	:	US
Telephone Number	:	212-988-2501
Fax Number	:	212-988-2509

Authorized Official
Title or Position	:	OWNERSHIP
Name	:	MR. ROBERT T DILILLO
Credential	:	PT
Telephone Number	:	646-522-0627

Provider Enumeration Date	:	10/02/2008
Last Update Date	:	09/26/2023

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