Kenneth Wachstock, MA, OTR/L - Occupational Therapist in Hollis, NY

Kenneth Wachstock, MA, OTR/L is a Occupational Therapist - Pediatrics based in Hollis, New York. Kenneth Wachstock is licensed to practice in New York (license number 0121921) and his current practice location is 19614 Pompeii Ave, Hollis, New York. He can be reached at his office (for appointments etc.) via phone at (718) 464-0709.

NPI number for Kenneth Wachstock is 1295976231 and his current mailing address is 19614 Pompeii Ave, Hollis, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295976231.

Contact Information

Kenneth Wachstock, MA, OTR/L
19614 Pompeii Ave,
Hollis, NY 11423-1418
(718) 464-0709
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKenneth Wachstock
GenderMale
SpecialityOccupational Therapist - Pediatrics
Location19614 Pompeii Ave, Hollis, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295976231
  • Provider Enumeration Date: 03/22/2009
  • Last Update Date: 03/22/2009

Medical Identifiers

Medical identifiers for Kenneth Wachstock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295976231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 0121921 (New York)Secondary
225XP0200XOccupational Therapist - Pediatrics 0121921 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Wachstock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Wachstock, MA, OTR/L
19614 Pompeii Ave,
Hollis, NY 11423-1418

Ph: (718) 464-0709
Kenneth Wachstock, MA, OTR/L
19614 Pompeii Ave,
Hollis, NY 11423-1418

Ph: (718) 464-0709

Reviews and Comments


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