Gina Marie Ciolino, OTR/L

Individual provider Active NPI Occupational Therapist · Rocky Point, NY

NPI 1043562291 · NPPES record last updated Oct 12, 2012

Key facts

NPI
1043562291
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0095551 (NY)
Practice address
342 Soundview Dr
Rocky Point, NY 11778-9728
Phone
(631) 209-0987
Fax
(631) 209-2438
NPI assigned
Oct 12, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0095551NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0095551 NY Yes

Addresses

Primary practice location

342 Soundview Dr
Rocky Point, NY 11778-9728

Mailing address

342 Soundview Dr
Rocky Point, NY 11778-9728
Phone (631) 209-0987

Other providers in Rocky Point, NY

All providers in Rocky Point, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.