Susan Elizabeth Capuder, OTRL
Individual provider Active NPI Occupational Therapist · Glen Head, NY
NPI 1750427779 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750427779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 005505-01 (NY)
- Practice address
- 189 Wheatley Rd
Glen Head, NY 11545-2641 - Phone
- (516) 626-1075
- NPI assigned
- Jan 29, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 005505-01 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005505-01 | NY | Yes |
Addresses
Primary practice location
189 Wheatley Rd
Glen Head, NY 11545-2641
Mailing address
125 Hampton Ave
Albertson, NY 11507-2007
Phone (516) 747-5223
Other providers in Glen Head, NY
- Barbara Maria Bryzgornia
- Maria Canonica
- Adam Cantor
- Michael Barry Capobianco
- Victoria Vadala Capobianco
- Pamela Carlucci
- Myles A Carter
- Fernando Cavalcante Krause
- Wendy Chaite
- Chanel V. Tazza, Mental Health Counseling, P.C.
All providers in Glen Head, 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 Jul 8, 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.