Organization
ELLIOT ENGELHARDT O.T., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIOT S. ENGELHARDT MS, OTR/L, CME I (OWNER)
(917) 750-9101
Entity
Organization
Contact information
Practice address
8229 SURREY PL, JAMAICA, NY 11432-1436
(917) 750-9101
Mailing address
8229 SURREY PL, JAMAICA, NY 11432-1436
(917) 750-9101
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
015085
NY
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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