# BEGENTLE OCCUPATIONAL THERAPY PLLC

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

## Provider details

- **NPI number:** 1467987123
- **Authorized official:** MRS. KRISTINA MARIE BEGENT MS (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (631) 742-5472

## Contact information

- **Practice address:** 122 W ROE BLVD, PATCHOGUE, NY 11772-2569
- **Practice address phone:** (631) 742-5472
- **Mailing address:** 100 ROBINSON AVE, EAST PATCHOGUE, NY 11772-4841
- **Mailing address phone:** (631) 742-5472
- **Mailing address fax:** (631) 627-8533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 015848-1 | NY | Yes |
| 302R00000X | Health Maintenance Organization | 015948-1 | NY | — |

## Other

- **Enumeration date:** 05/01/2017
- **Last updated:** 05/01/2017