Andrea Passannante, OT, OTR/L, CDIS | |
301 E Main St, Bay Shore, NY 11706-8408 | |
(631) 968-3400 | |
Not Available |
Full Name | Andrea Passannante |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 301 E Main St, Bay Shore, 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 |
---|---|---|---|
1003453127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 006482 (New York) | Primary |
Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
Mailing Address | Practice Location Address |
---|---|
Andrea Passannante, OT, OTR/L, CDIS 31 Grassmere Ave, Oakdale, NY 11769-1910 Ph: (631) 563-2366 | Andrea Passannante, OT, OTR/L, CDIS 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3400 |
Alyssa Verron, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Perkal St, Bay Shore, NY 11706 Phone: 631-968-1252 | |
Brielle Theresa Mcgullam, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 85 W Main St Ste 202, Bay Shore, NY 11706 Phone: 631-206-3130 | |
Mrs. Susan L Gouldson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Avenue, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Lindsey Elizabeth Kertland, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Danielle Hartnett, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 W Main St Ste 202, Bay Shore, NY 11706 Phone: 631-206-3130 Fax: 631-206-3148 | |
Miss Nicole Kathryn Maseroni, MS OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 |