Jerabeck, Peter Edward
Jerabeck, Peter Edward is an individual health care provider with primary practice located at 11 Ralph Place Suite 111, Staten Island NY 10304. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Jerabeck, Peter Edward can be contacted via phone (718) 447-0733.Contact Information
Primary practice address
11 Ralph Place Suite 111
Staten Island NY 10304
Phone: (718) 447-0733
Fax: (718) 447-2423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1705 | New York |
Profile Details
| NPI number | 1477619716 |
|---|---|
| LBN Legal business name | Jerabeck, Peter Edward |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477619716 | NPPES |
| New York | Other | 160897 | ELDERPLAN |
| New York | Other | 19868P | ELDERPLAN |
| New York | Other | 4C2101 | ELDERPLAN |
| New York | Other | OS165 | ELDERPLAN |
| New York | Other | 014290 | ELDERPLAN |
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