# BAYSIDE OCCUPATIONAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043738123
- **Authorized official:** VIVIAN W HUANG OT (PRESIDENT)
- **Authorized official phone:** (917) 340-3029

## Contact information

- **Practice address:** 32-45 204TH STREET, BAYSIDE, NY 11361-1136
- **Practice address phone:** (917) 340-3029
- **Practice address fax:** (917) 340-3029
- **Mailing address:** 32-45 204TH STREET, BAYSIDE, NY 11361
- **Mailing address phone:** (917) 340-3029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2017
- **Last updated:** 09/08/2017