# PEDIATRIC OCCUPATIONAL THERAPY OF NY, PC

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

## Provider details

- **NPI number:** 1306280383
- **Authorized official:** MR. RALPH SCHRADER OTR/L (PRESIDENT)
- **Authorized official phone:** (917) 969-1004

## Contact information

- **Practice address:** 14 BOND ST STE 426, GREAT NECK, NY 11021-2045
- **Practice address phone:** (917) 969-1004
- **Practice address fax:** (516) 626-1698
- **Mailing address:** 14 BOND ST STE 426, GREAT NECK, NY 11021-2045
- **Mailing address phone:** (917) 969-1004
- **Mailing address fax:** (516) 626-1698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 009893-1 | NY | Yes |

## Other

- **Enumeration date:** 04/22/2013
- **Last updated:** 05/03/2013