| Suffolk Occupational Therapy Pllc | |
|
187 Union Ave, Islip, NY 11751-4314 | |
| (631) 581-5607 | |
| Not Available |
| Full Name | Suffolk Occupational Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 187 Union Ave, Islip, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649545450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 63 009116 (New York) | Primary |
| Provider Name | Robert John Ganser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659609071 PECOS PAC ID: 5597910778 Enrollment ID: I20130220000276 |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Occupational Therapy Pllc 187 Union Ave, Islip, NY 11751-4314 Ph: (631) 581-5607 | Suffolk Occupational Therapy Pllc 187 Union Ave, Islip, NY 11751-4314 Ph: (631) 581-5607 |
Grace England Smithers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2330 Union Blvd, Islip, NY 11751 Phone: 631-377-7000 Fax: 631-389-2644 | |
Maggie Anne Cullen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 252 Islip Ave, Islip, NY 11751 Phone: 631-581-5800 | |
Austin Joseph Mizerak I, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2330 Union Blvd, Islip, NY 11751 Phone: 631-377-7000 | |
Mr. John A. Sharpe, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Union Ave, Islip, NY 11751 Phone: 631-581-5607 | |
Ms. Deborah Conroy, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 Chelsea Dr, Islip, NY 11751 Phone: 631-521-3141 | |
Marisa Bonventre, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 252 Islip Ave, Islip, NY 11751 Phone: 631-581-6800 | |
Mr. Michael James Rivezzo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Monell Ave, Islip, NY 11751 Phone: 516-974-4180 |