Melanie Marlene Palmaccio, COTA
Individual provider Active NPI Occupational Therapy Assistant · East Moriches, NY
NPI 1780403147 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1780403147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 519669 (NY)
- Practice address
- 130 Montauk Hwy Unit F
East Moriches, NY 11940-1153 - Phone
- (631) 874-0571
- NPI assigned
- Oct 3, 2024
- 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 |
|---|---|---|---|
| 519669 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 519669 | NY | Yes |
Addresses
Primary practice location
130 Montauk Hwy Unit F
East Moriches, NY 11940-1153
Mailing address
130 Montauk Hwy Unit F
East Moriches, NY 11940-1153
Phone (631) 874-0571
Other providers in East Moriches, NY
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- Hugh George O'Henry
- Ocean Spa Long Island, LLC
- Amanda Osorio
- Wendy Parra Cuzco
- Megan Passarelle
- Cammie Lynn Passini
- Steven John Pesce
- Alexander M Piekarski
All providers in East Moriches, 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 Oct 3, 2024. 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.