MEDICARE: JENNY OCCIANO

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	225100000X	Physical Therapist	039222	NY
2	225200000X	Physical Therapy Assistant	008294	NY

General Provider Information

NPI Number	:	1932554698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY OCCIANO

Provider Business Mailing Address
First Line	:	4015 81ST STREET, APT A49
Second Line	:	ELMHURST
City	:	NEW YORK
State	:	NY
Zip	:	11373
Country	:	US
Telephone Number	:	551-265-5872
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 81ST STREET, APT A49
Second Line	:	ELMHURST
City	:	NEW YORK
State	:	NY
Zip	:	11373
Country	:	US
Telephone Number	:	551-265-5872
Fax Number	:

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

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	05/02/2016

Similar Medicare Providers

1023093994 — GABRIEL H BRANDEIS M.D.
Practice Location Address:

MEDICAL DEPARTMENT , 79-01 BROADWAY
NEW YORK, NY
11373

Practice Phone: 718-334-3444
Practice Fax: 718-334-2879

1457503211 — DR. PETER MICHAEL BULOW M.D.
Practice Location Address:

91-14 37TH AV
NEW YORK, NY
11373

Practice Phone: 718-779-1600
Practice Fax: 347-612-4162

1316355506 — DR. TULASI SRINIVASA KUMAR GORIPARTHI M.D
Practice Location Address:

79-01 BROADWAY ELMHURST , PSYCHIATRY DEPARTMENT, ELMHURST HOSPITAL CENTER
NEW YORK, NY
11373

Practice Phone: 718-334-3542
Practice Fax:

1174900419 — DIANE GREEN
Practice Location Address:

9131 QUEENS BVLD
NEW YORK, NY
11373-9997

Practice Phone: 718-779-7000
Practice Fax: 718-697-6167

1093382343 — TIEN THI MY PHAN M.D.
Practice Location Address:

79-01 BROADWAY , A7-34 ELMHURST
NEW YORK, NY
11373

Practice Phone: 718-334-2156
Practice Fax:

1144891508 — ANTONELA MICCOLI M.D
Practice Location Address:

79-01 BROADWAY
NEW YORK CITY, NY
11373

Practice Phone: 718-334-2156
Practice Fax:

Directions to “ JENNY OCCIANO ” 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.