Anita Marie Wong
Occupational Therapist - Gerontology
23 Hamilton Pl
Lake Grove
, New York 11755-1916
Anita Marie Wong
Occupational Therapist - Gerontology
23 Hamilton Pl
Lake Grove
, New York 11755-1916
(631) 935-2729
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Anita Marie Wong
- 23 Hamilton Pl
- Lake Grove, NY
- Zip : 11755-1916
- Phone : (631) 935-2729
Second Address
- Anita Marie Wong
- 23 Hamilton Pl
- Lake Grove, NY
- Zip : 11755-1916
- Phone : (631) 935-2729
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 0003278 | NY |
National Provider Identifier
| NPI | 1801482377 |
|---|---|
| Provider Name | Anita Marie Wong |
| First Address | Lake Grove, NY 11755-1916 |
| Second Address | Lake Grove, NY 11755-1916 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/12/2020 |
| Last Update Date | 17/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.