Daniel Kyung Suk Min, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023869 Issued in NY

Practice address

1010 Northern Blvd Ste 424
Great Neck, NY 11021-5330

Phone

(516) 336-2254

NPI assigned

Sep 20, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1265083398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 163RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582618",
            "telephone_number": "917-280-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 424",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215330",
            "telephone_number": "516-336-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "DANIEL",
        "middle_name": "KYUNG SUK",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Miller
• Olivia Erani Miller, LCSW
• Tara Miller
• Edward L. Mills, M.D.
• Marina Milman, MD
• Mind Connections Psychology PLLC
• Mind First Counseling, LLC
• Mind Flow NP in Psychiatry PLLC
• Mindset Psychology, PLLC
• Mins Acupuncture PC

• Occupational Therapist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.