Eileen D'Amico, OTR

Individual provider Active NPI Occupational Therapist · Oakdale, NY

NPI 1720128291 · NPPES record last updated Jun 24, 2016

Key facts

NPI
1720128291
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
004596 (NY)
Practice address
133 Yale Ave
Oakdale, NY 11769-1550
Phone
(631) 525-2189
Fax
(631) 563-8929
NPI assigned
Feb 7, 2007
Sex
Female
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

LicenseStateTypeSpecialty
004596NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004596 NY Yes

Addresses

Primary practice location

133 Yale Ave
Oakdale, NY 11769-1550

Mailing address

133 Yale Ave
Oakdale, NY 11769-1550
Phone (631) 563-8929

Other providers in Oakdale, NY

All providers in Oakdale, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.