Katherine Beth Sullivan, | |
88 Patchogue Ave, Patchogue, NY 11772-1694 | |
(631) 654-0989 | |
Not Available |
Full Name | Katherine Beth Sullivan |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 88 Patchogue Ave, Patchogue, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437272028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Little Angels Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588719041 PECOS PAC ID: 0547409104 Enrollment ID: O20130612000375 |
Mailing Address | Practice Location Address |
---|---|
Katherine Beth Sullivan, 88 Patchogue Ave, Patchogue, NY 11772-1694 Ph: (631) 654-0989 | Katherine Beth Sullivan, 88 Patchogue Ave, Patchogue, NY 11772-1694 Ph: (631) 654-0989 |
Marguerite Mccabe, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Sunrise Hwy, Patchogue, NY 11772 Phone: 631-289-2200 | |
Lori Jean Amodio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 W 2nd St, Patchogue, NY 11772 Phone: 631-774-3759 | |
Mr. Kevin James Daly, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 183 Washington Ave, Patchogue, NY 11772 Phone: 703-966-7868 | |
Allyson Brodsky-matwey, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Sunrise Hwy, Patchogue, NY 11772 Phone: 631-289-2200 | |
Mr. Ben Robert Moston, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 Gillette Ave, Patchogue, NY 11772 Phone: 631-730-5212 | |
Ms. Jenna Kathryn Morlock, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 426 Clubhouse Dr, Patchogue, NY 11772 Phone: 516-439-7272 | |
Renae L Hansen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 92 N Prospect Ave, Patchogue, NY 11772 Phone: 631-569-4755 |