Monica L Puglisi, MS, OTR/L

Individual provider Active NPI Occupational Therapist · Greene, NY

NPI 1972847259 · NPPES record last updated Nov 26, 2012

Key facts

NPI
1972847259
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
017755 (NY)
Practice address
557 Echo Lake Rd
Greene, NY 13778-3227
Phone
(607) 237-3180
NPI assigned
Nov 26, 2012
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017755NYMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017755 NY Yes

Addresses

Primary practice location

557 Echo Lake Rd
Greene, NY 13778-3227

Mailing address

557 Echo Lake Rd
Greene, NY 13778-3227
Phone (607) 237-3180

Other providers in Greene, NY

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

Sources for this page

Verify at the official NPI Registry.