Cindy Panza Ansink

Individual provider Active NPI Occupational Therapist · Northport, NY

NPI 1891835005 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891835005
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
004452 (NY)
Practice address
53 5TH Ave
Northport, NY 11768-2808
Phone
(631) 754-5989
Fax
(631) 754-7559
NPI assigned
Feb 7, 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

LicenseStateTypeSpecialty
004452NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004452 NY Yes

Addresses

Primary practice location

53 5TH Ave
Northport, NY 11768-2808

Mailing address

53 5TH Ave
Northport, NY 11768-2808
Phone (631) 754-5989

Other providers in Northport, NY

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

Sources for this page

Verify at the official NPI Registry.