Provider Demographics
NPI:1881876407
Name:HANDSON OCCUPATIONAL THERAPRY
Entity type:Organization
Organization Name:HANDSON OCCUPATIONAL THERAPRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIMITRIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSTOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-707-6970
Mailing Address - Street 1:3636 33RD ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2329
Mailing Address - Country:US
Mailing Address - Phone:708-707-6970
Mailing Address - Fax:718-732-2864
Practice Address - Street 1:39 E 78TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0213
Practice Address - Country:US
Practice Address - Phone:212-439-9303
Practice Address - Fax:212-744-4481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011820-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty