Sylvia Korza, OTR/L

Individual provider Active NPI Occupational Therapist · East Quogue, NY

NPI 1164022356 · NPPES record last updated Oct 28, 2020

Key facts

NPI
1164022356
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
13475 (MA)
Practice address
143 Chardonnay Dr
East Quogue, NY 11942-3829
Phone
(914) 619-0479
NPI assigned
Oct 28, 2020
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X 13475 MA Yes

Addresses

Primary practice location

143 Chardonnay Dr
East Quogue, NY 11942-3829

Mailing address

104 Holyoke St
Easthampton, MA 01027-2460
Phone (413) 886-3143

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL none Direct

Other providers in East Quogue, NY

All providers in East Quogue, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.