Bibi Y Alley, COTA
Individual provider Active NPI Occupational Therapy Assistant · Hollis, NY
NPI 1548478043 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1548478043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 005809 (NY)
- Practice address
- 20507 Hillside Ave
Suite 20-23
Hollis, NY 11423-2220 - Phone
- (718) 264-1789
- Fax
- (718) 264-2179
- NPI assigned
- May 18, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005809 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 005809 | NY | Yes |
Addresses
Primary practice location
20507 Hillside Ave
Suite 20-23
Hollis, NY 11423-2220
Mailing address
9350 204TH St
Hollis, NY 11423-3026
Phone (718) 776-7199
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005809 | Medicaid | NY |
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All providers in Hollis, NY · Occupational Therapy Assistant 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 Jul 9, 2007. 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.