Individual
EILEEN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, HPCS
Contact information
Practice address
475 NORTHERN BLVD STE 19, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723
Mailing address
475 NORTHERN BLVD STE 37, GREAT NECK, NY 11021-4802
(516) 344-0023
(516) 466-7723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014617
NY
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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