Organization
AMG OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC D GELMAN MS OTRL (MANAGING OCCUPATIONAL THERAPIST)
(917) 453-3200
Entity
Organization
Contact information
Practice address
55 NORTHERN BLVD, SUITE 103, GREAT NECK, NY 11021-4058
(516) 466-9300
(516) 466-9353
Mailing address
55 NORTHERN BLVD, SUITE 103, GREAT NECK, NY 11021-4058
(516) 466-9300
(516) 466-9353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154240
AETNA HMO
NY
01
—
1601049
GHI
NY
Enumeration date
08/05/2006
Last updated
05/06/2010
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