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Organization

ADVANCED HAND & OCCUPATIONAL THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL SARACENO OTR/L, CHT (PRESIDENT)
(718) 698-9800
Entity
Organization

Contact information

Practice address
2372 VICTORY BLVD, STATEN ISLAND, NY 10314-6607
(718) 698-9800
(718) 698-9820
Mailing address
6917 62ND AVE, MIDDLE VILLAGE, NY 11379-1119
(718) 779-8559

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0090981
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009098
HIP
NY
01
1699738
GHI
NY
01
2002047
UNITED HEALTHCARE
NY
01
7070452
AETNA
NY
01
G2739397
OXFORD
NY
01
QS7731
BLUE CROSS BLUE SHIELD
NY
Enumeration date
07/01/2006
Last updated
06/17/2008
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