| NPI | 1568973667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CHIULLI CONNOLLY Occupational Therapist 631-786-4767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |