Organization
LONG ISLAND CERTIFIED HAND THERAPY AND CUSTOM ORTHOTICS, OCCUPATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIKKI DEMATTEO MA, OTR/L, CHT (OCCUPATIONAL THERAPIST)
(631) 275-6004
Entity
Organization
Contact information
Practice address
240 PATCHOGUE YAPHANK RD, SUITE 101, EAST PATCHOGUE, NY 11772-4868
(631) 428-0515
(631) 438-0516
Mailing address
240 PATCHOGUE YAPHANK RD, SUITE 101, EAST PATCHOGUE, NY 11772-4868
(631) 428-0515
(631) 438-0516
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
008249-1
NY
Other
Enumeration date
12/18/2012
Last updated
06/12/2013
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