Deepika Modi

Individual provider Active NPI Occupational Therapist · Hollis Hills, NY

NPI 1902107352 · NPPES record last updated Nov 16, 2010

Key facts

NPI
1902107352
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
014891 (NY)
Practice address
216-07 Sawyer Avenue
Hollis Hills, NY 11427
Phone
(646) 567-8524
NPI assigned
Nov 16, 2010
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 014891 NY Yes

Addresses

Primary practice location

216-07 Sawyer Avenue
Hollis Hills, NY 11427

Mailing address

216-07 Sawyer Avenue
Hollis Hills, NY 11427

Other providers in Hollis Hills, NY

All providers in Hollis Hills, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.