| Ms Larissa Janel Hyde, | |
|
4 Countrywood Ct, Deer Park, NY 11729-5602 | |
| (516) 984-0971 | |
| Not Available |
| Full Name | Ms Larissa Janel Hyde |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4 Countrywood Ct, Deer Park, 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 |
|---|---|---|---|
| 1033553581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 015356 (New York) | Primary |
| Provider Name | Home Advantage Occupational Therapy, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730467572 PECOS PAC ID: 4385819218 Enrollment ID: O20111205000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Larissa Janel Hyde, 4 Countrywood Ct, Deer Park, NY 11729-5602 Ph: () - | Ms Larissa Janel Hyde, 4 Countrywood Ct, Deer Park, NY 11729-5602 Ph: (516) 984-0971 |
Morgan Lee Fusco, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1014 Grand Blvd Ste 5, Deer Park, NY 11729 Phone: 631-243-1765 | |
Mayan Oneg Beroukhim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1014 Grand Blvd Ste 5, Deer Park, NY 11729 Phone: 631-243-1765 | |
Miss Christina Fandaros, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Brandywine Dr, Deer Park, NY 11729 Phone: 631-392-0081 | |
Marie Anne Passaro, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Brandywine Dr, Deer Park, NY 11729 Phone: 631-392-0081 Fax: 631-392-0084 | |
Rafael Almanzar-paramio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1014 Grand Blvd Ste 5, Deer Park, NY 11729 Phone: 631-243-1765 | |
Nicole Joe-anne Quattrocchi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Brandywine Dr, Deer Park, NY 11729 Phone: 631-392-0081 |