| East End Occupational Therapy, Pllc | |
|
868 Church St Ste 4 Bohemia NY 11716-5021 | |
| (631) 676-4185 | |
| (631) 676-4186 |
| Full Name | East End Occupational Therapy, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 868 Church St Ste 4, Bohemia, New York |
| Authorized Official Name and Position | Anthony J Marullo (OCCUPATIONAL THERAPIST- OWNER) |
| Authorized Official Contact | 6316764185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East End Occupational Therapy, Pllc 868 Church St Ste 4 Bohemia NY 11716-5021 Ph: (631) 676-4185 | East End Occupational Therapy, Pllc 868 Church St Ste 4 Bohemia NY 11716-5021 Ph: (631) 676-4185 |
| NPI Number | 1649531567 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 3375790637 |
|---|---|
| Medicare Enrollment ID | O20120822000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649531567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 017178-1 (New York) | Primary |
| Provider Name | Anthony Joseph Marullo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376815456 PECOS PAC ID: 4284881541 Enrollment ID: I20120831000510 |
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