| Miss Jubin John, OTR/L | |
|
475 Northern Blvd, Great Neck, NY 11021-4819 | |
| (917) 968-8497 | |
| Not Available |
| Full Name | Miss Jubin John |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 475 Northern Blvd, Great Neck, 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 |
|---|---|---|---|
| 1518530534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 025684 (New York) | Primary |
| Provider Name | Outreach Physical & Occupational Therapy & Speech Rehabilitation, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841526399 PECOS PAC ID: 2365582665 Enrollment ID: O20091217000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jubin John, OTR/L 216 Hawthorne Ave, Staten Island, NY 10314-1861 Ph: () - | Miss Jubin John, OTR/L 475 Northern Blvd, Great Neck, NY 11021-4819 Ph: (917) 968-8497 |
Mark Guzman, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 475 Northern Blvd Ste 19, Great Neck, NY 11021 Phone: 516-829-0030 | |
Jennifer Mounessa, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 Steamboat Rd, Great Neck, NY 11024 Phone: 516-850-4940 | |
Grace Lisandrelli, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 475 Northern Blvd Ste 19, Great Neck, NY 11021 Phone: 516-829-0030 | |
Katherine Susan Bowles, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 475 Northern Blvd, Great Neck, NY 11021 Phone: 516-829-0030 | |
Catherine Chang, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 833 Northern Blvd Suite 235, Great Neck, NY 11021 Phone: 516-288-3400 Fax: 516-288-3410 | |
Regina Kakuriyeva, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 475 Northern Blvd Ste 19, Great Neck, NY 11021 Phone: 516-829-0030 Fax: 516-466-7723 | |
Rachel Ahdoot, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 20 Fir Dr, Great Neck, NY 11024 Phone: 516-225-8905 |