Jessica Acevedo
Occupational Therapist - Pediatrics
235 Blue Point Ave
Blue Point
, New York 11715-1261
Jessica Acevedo
Occupational Therapist - Pediatrics
235 Blue Point Ave
Blue Point
, New York 11715-1261
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Jessica Acevedo
- 454 Main St Apt D
- Islip, NY
- Zip : 11751-3429
- Phone :
Second Address
- Jessica Acevedo
- 235 Blue Point Ave
- Blue Point, NY
- Zip : 11715-1261
- Phone : (631) 363-5794
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 008561-1 | NY |
National Provider Identifier
| NPI | 1063802882 |
|---|---|
| Provider Name | Jessica Acevedo |
| First Address | Islip, NY 11751-3429 |
| Second Address | Blue Point, NY 11715-1261 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2015 |
| Last Update Date | 01/02/2015 |
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.