# ROSEANN VANDERBECK OTRPC

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

## Provider details

- **NPI number:** 1487944054
- **Authorized official:** ROSEANN VANDERBECK OTR (OWNER/DIRECTOR)
- **Authorized official phone:** (516) 241-3684

## Contact information

- **Practice address:** 559 ATLANTIC AVE, 202, EAST ROCKAWAY, NY 11518-1530
- **Practice address phone:** (516) 872-4605
- **Practice address fax:** (516) 872-4606
- **Mailing address:** 71 CLINTON AVE, LYNBROOK, NY 11563-4137
- **Mailing address phone:** (516) 241-3684
- **Mailing address fax:** (516) 872-4605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 002930-1 | NY | Yes |

## Other

- **Enumeration date:** 04/15/2011
- **Last updated:** 04/15/2011