Organization
NORTHBOUND OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANATOLY PIKMAN OTR/L (PRESIDENT)
(212) 464-8365
Entity
Organization
Contact information
Practice address
702 KATHLEEN PL APT 4C, BROOKLYN, NY 11235-5143
(212) 464-8365
(347) 587-1915
Mailing address
702 KATHLEEN PL APT 4C, BROOKLYN, NY 11235-5143
(212) 464-8365
(347) 587-1915
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05245001
—
NY
Enumeration date
02/11/2020
Last updated
08/08/2022
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