Siu Mei Chan, OTR/L
Individual provider Active NPI Occupational Therapist · Glendale, NY
NPI 1396989307 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1396989307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 005749-1 (NY)
- Practice address
- 6820 Myrtle Ave
Glendale, NY 11385-7235 - Phone
- (718) 326-8170
- NPI assigned
- Apr 22, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 005749-1 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interdisciplinary Center for Child Development, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005749-1 | NY | Yes |
Addresses
Primary practice location
6820 Myrtle Ave
Glendale, NY 11385-7235
Mailing address
3555 223Rd St
Bayside, NY 11361-2236
Phone (718) 428-5370
Other providers in Glendale, NY
- Central Neighborhood RX Inc
- Central Queens Day Surgical Center, Inc.
- Central Queens Day Surgical Center, Inc.
- Jason Chamikles
- Julia Chan
- Johnny Chang
- Alexis Chernoff
- Jackie Rose Chessen
- Child Care Pediatrics, P.C.
- Kevin Chin
All providers in Glendale, 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 Feb 24, 2022. 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.