Organization
M.R.J OT CONTRACT SERVICE PC
Active
Parent organization
-M.R.J OT CONTRACT SERVICE PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
-M.R.J OT CONTRACT SERVICE PC
Authorized official
MARGARET HAACKER OTR (OCCUPATIONAL THERAPIST)
(917) 517-4421
Entity
Organization
Contact information
Practice address
8815 146TH ST, JAMAICA, NY 11435-3634
(917) 517-4421
Mailing address
PO BOX 690798, EAST ELMHURST, NY 11369-0798
(917) 517-4421
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
013637
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144541467
—
NY
Enumeration date
01/17/2016
Last updated
01/17/2016
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