Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
STILLWATER PSYCHOLOGICAL AND OCCUPATIONAL THERAPY ASSOC PLLC
Active
Organization
STILLWATER PSYCHOLOGICAL AND OCCUPATIONAL THERAPY ASSOC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFER ZYZMAN (CEO)
(631) 647-7885
Entity
Organization
Contact information
Practice address
1840 UNION BLVD, BAY SHORE, NY 11706-7932
(631) 647-7885
(631) 647-7893
Mailing address
1840 UNION BLVD, BAY SHORE, NY 11706-7932
(631) 647-7885
(631) 647-7893
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011241
NY
104100000X
Social Worker
025669
NY
225X00000X
Occupational Therapist
009040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02678068
—
NY
Enumeration date
04/05/2006
Last updated
06/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up