Organization
EAST END OCCUPATIONAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J MARULLO MS OTR-L (OCCUPATIONAL THERAPIST- OWNER)
(631) 676-4185
Entity
Organization
Contact information
Practice address
868 CHURCH ST STE 4, BOHEMIA, NY 11716-5021
(631) 676-4185
(631) 676-4186
Mailing address
868 CHURCH ST STE 4, BOHEMIA, NY 11716-5021
(631) 676-4185
(631) 676-4186
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
017178-1
NY
Other
Enumeration date
06/07/2012
Last updated
04/28/2023
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