Individual
HUNTER EDWARD MALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
264 JEFFERSONVILLE NORTH BRANCH RD, JEFFERSONVILLE, NY 12748-5624
(845) 796-8200
Mailing address
264 JEFFERSONVILLE NORTH BRANCH RD, JEFFERSONVILLE, NY 12748-5624
(845) 796-8200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011568
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011568
NEW YORK STATE LICENSE
NY
Enumeration date
07/01/2024
Last updated
07/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us