Michael Vail
Individual provider Active NPI Occupational Therapist · Brooktondale, NY
NPI 1275935157 · NPPES record last updated Sep 22, 2014
Key facts
- NPI
- 1275935157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- P94821 (NY)
- Practice address
- 217 Brooktondale Rd
Apt D
Brooktondale, NY 14817-9565 - Phone
- (315) 406-6149
- NPI assigned
- Sep 22, 2014
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| P94821 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | P94821 | NY | Yes |
Addresses
Primary practice location
217 Brooktondale Rd
Apt D
Brooktondale, NY 14817-9565
Mailing address
217 Brooktondale Rd
Apt D
Brooktondale, NY 14817-9565
Phone (315) 406-6149
Other providers in Brooktondale, NY
- Prieto Medical Practice, PLLC
- Karen Lynn Raeder
- Jacqueline Marie Seely
- Marjorie Alice Spingler
- Katherine Thornton
All providers in Brooktondale, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.