East End Occupational Therapy, Pllc | |
868 Church St Ste 4 Bohemia NY 11716-5021 | |
(631) 676-4185 | |
(631) 676-4186 |
Full Name | East End Occupational Therapy, Pllc |
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Speciality | Clinic/Center |
Location | 868 Church St Ste 4, Bohemia, New York |
Authorized Official Name and Position | Anthony J Marullo (OCCUPATIONAL THERAPIST- OWNER) |
Authorized Official Contact | 6316764185 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East End Occupational Therapy, Pllc 868 Church St Ste 4 Bohemia NY 11716-5021 Ph: (631) 676-4185 | East End Occupational Therapy, Pllc 868 Church St Ste 4 Bohemia NY 11716-5021 Ph: (631) 676-4185 |
NPI Number | 1649531567 |
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Provider Enumeration Date | 06/07/2012 |
Last Update Date | 04/28/2023 |
Medicare PECOS PAC ID | 3375790637 |
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Medicare Enrollment ID | O20120822000307 |
Identifier | Type | State | Issuer |
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1649531567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 017178-1 (New York) | Primary |
Provider Name | Anthony Joseph Marullo |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376815456 PECOS PAC ID: 4284881541 Enrollment ID: I20120831000510 |
Provider Name | Melissa Sanmiguel |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255858817 PECOS PAC ID: 8628344512 Enrollment ID: I20171020000300 |
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