Leah J Revello, is a
Occupational Therapist - Pediatrics based in South Floral Park, New York. Leah J Revello is licensed to practice in New York (license number 029239) and her current practice location is
208 Floral Pkwy, South Floral Park, New York. She can be reached at her office (for appointments etc.) via phone at
(646) 472-4963.
NPI number for Leah J Revello is 1992522486 and her current mailing address is 68 S Service Rd, Melville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992522486.
Healthcare Provider's Profile
Full Name | Leah J Revello |
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Gender | Female |
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Speciality | Occupational Therapist - Pediatrics |
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Location | 208 Floral Pkwy, South Floral Park, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992522486
- Provider Enumeration Date: 09/25/2024
- Last Update Date: 09/25/2024
Medical Identifiers
Medical identifiers for Leah J Revello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992522486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 029239 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leah J Revello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leah J Revello, 68 S Service Rd, Melville, NY 11747-2354 Ph: (631) 600-3029 | Leah J Revello, 208 Floral Pkwy, South Floral Park, NY 11001-3439 Ph: (646) 472-4963 |
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