Organization
NY THERAAPY PLACEMENY, INC
Active
Parent organization
NO
Other names
11
Organization subpart
Yes
Provider details
NPI number
Legal business name
NO
Authorized official
MRS. NICOLE JANELLE SHELLARD MS, OTR/L (OCCUPATIONAL THERAPIST)
(515) 209-7618
Entity
Organization
Contact information
Practice address
162 SYMPHONY DR, LAKE GROVE, NY 11755
(516) 209-7618
Mailing address
162 SYMPHONY DR, LAKE GROVE, NY 11755-1315
(516) 209-7618
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
012229
NY
302F00000X
Exclusive Provider Organization
0012229
NY
302F00000X
Exclusive Provider Organization
Primary
012229
NY
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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