MEDICARE: MR. RICHARD PETER ENGEL JR. M.S.OTR/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	007801-1	NY

General Provider Information

NPI Number	:	1942515697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD PETER ENGEL JR. M.S.OTR/L

Provider Business Mailing Address
First Line	:	271 WASHINGTON AVE
Second Line	:
City	:	SAINT JAMES
State	:	NY
Zip	:	11780-2246
Country	:	US
Telephone Number	:	631-862-6179
Fax Number	:

Provider Business Practice Location Address
First Line	:	271 WASHINGTON AVE
Second Line	:
City	:	SAINT JAMES
State	:	NY
Zip	:	11780-2246
Country	:	US
Telephone Number	:	631-862-6179
Fax Number	:

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

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	08/18/2010

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Directions to “ MR. RICHARD PETER ENGEL JR. M.S.OTR/L” Practice Location

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