Organization
ROSEANN VANDERBECK OTRPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEANN VANDERBECK OTR (OWNER/DIRECTOR)
(516) 241-3684
Entity
Organization
Contact information
Practice address
559 ATLANTIC AVE, 202, EAST ROCKAWAY, NY 11518-1530
(516) 872-4605
(516) 872-4606
Mailing address
71 CLINTON AVE, LYNBROOK, NY 11563-4137
(516) 241-3684
(516) 872-4605
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
002930-1
NY
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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