Provider Rehab, Ot. P.C.

LBN: Provider Rehab, Ot. P.C.
Provider Rehab, Ot. P.C. is an health care organization with primary practice located at 288 Sand Ln Ste 1 , Staten Island NY 10305-4512. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty. Provider Rehab, Ot. P.C. can be contacted via phone (347) 766-9077, or through Shevchenko, Dmitry via phone (347) 766-9077.

Contact Information

Primary practice address
288 Sand Ln Ste 1 Staten Island NY 10305-4512
Phone: (347) 766-9077
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shevchenko, Dmitry OTR/L
Phone: (347) 766-9077

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 63018851 New York

Profile Details

NPI number 1205294691
LBN Legal business name Provider Rehab, Ot. P.C.
DBA Doing business as
Authorized official Shevchenko, Dmitry OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2016
Last updated Mar 5th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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