Michelle Lee Bisceglia, COTA

Individual provider Active NPI Occupational Therapy Assistant · Niskayuna, NY

NPI 1134498769 · NPPES record last updated Dec 28, 2011

Key facts

NPI
1134498769
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
0047641 (NY)
Practice address
1626 Balltown Rd
Niskayuna, NY 12309-2304
Phone
(518) 382-2525
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
Yes

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
0047641NYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0047641 NY Yes

Addresses

Primary practice location

1626 Balltown Rd
Niskayuna, NY 12309-2304

Mailing address

174 Leloup Rd
Melrose, NY 12121

Other providers in Niskayuna, NY

All providers in Niskayuna, NY · Occupational Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.