Organization
PEDIATRIC OCCUPATIONAL THERAPY OF NY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH SCHRADER OTR/L (PRESIDENT)
(917) 969-1004
Entity
Organization
Contact information
Practice address
14 BOND ST STE 426, GREAT NECK, NY 11021-2045
(917) 969-1004
(516) 626-1698
Mailing address
14 BOND ST STE 426, GREAT NECK, NY 11021-2045
(917) 969-1004
(516) 626-1698
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009893-1
NY
Other
Enumeration date
04/22/2013
Last updated
05/03/2013
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