Genette Marie Apicella, MS, OTR/L
Individual provider Active NPI Specialist · Pomona, NY
NPI 1285949099 · NPPES record last updated Aug 17, 2010
Key facts
- NPI
- 1285949099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 015985-1 (NY)
- Practice address
- 3 Charles LN
Apt. 2F
Pomona, NY 10970-3022 - Phone
- (845) 893-6533
- NPI assigned
- Aug 17, 2010
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015985-1 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 015985-1 | NY | Yes |
Addresses
Primary practice location
3 Charles LN
Apt. 2F
Pomona, NY 10970-3022
Mailing address
3 Charles LN
Apt. 2F
Pomona, NY 10970-3022
Phone (845) 893-6533
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2010. 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.