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NPI Code Detail

MEDICARE: MAUREEN O'CALLAGHAN

MEDICARE: MAUREEN O'CALLAGHAN
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
1225X00000XOccupational Therapist031013NY

General Provider Information

NPI Number : 1902754690
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN O'CALLAGHAN
Provider Business Mailing Address
First Line : 60 BRENDAN AVE
Second Line :
City : MASSAPEQUA PARK
State : NY
Zip : 11762-3302
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3559 MERRICK RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-2833
Country : US
Telephone Number : 516-639-4021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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