Anne Soryal, OTR/L | |
3391 Richmond Ave, Staten Island, NY 10312-2025 | |
(718) 608-9170 | |
Not Available |
Full Name | Anne Soryal |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 3391 Richmond Ave, Staten Island, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144911074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 027998 (New York) | Primary |
Provider Name | Theradynamics Rehab Pt, Ot & Slp, Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912463399 PECOS PAC ID: 4082045802 Enrollment ID: O20200512001530 |
Mailing Address | Practice Location Address |
---|---|
Anne Soryal, OTR/L 3391 Richmond Ave, Staten Island, NY 10312-2025 Ph: (718) 606-9170 | Anne Soryal, OTR/L 3391 Richmond Ave, Staten Island, NY 10312-2025 Ph: (718) 608-9170 |
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