Organization
BEGENTLE OCCUPATIONAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA MARIE BEGENT MS (OWNER/OCCUPATIONAL THERAPIST)
(631) 742-5472
Entity
Organization
Contact information
Practice address
122 W ROE BLVD, PATCHOGUE, NY 11772-2569
(631) 742-5472
Mailing address
100 ROBINSON AVE, EAST PATCHOGUE, NY 11772-4841
(631) 742-5472
(631) 627-8533
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
015848-1
NY
302R00000X
Health Maintenance Organization
015948-1
NY
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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