Kimberly Cancellieri
Occupational Therapist - Pediatrics
1363 Veterans Hwy Ste 8
Hauppauge
, New York 11788-3046
Kimberly Cancellieri
Occupational Therapist - Pediatrics
1363 Veterans Hwy Ste 8
Hauppauge
, New York 11788-3046
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Kimberly Cancellieri
- Po Box 6005
- Hauppauge, NY
- Zip : 11788-9005
- Phone :
Second Address
- Kimberly Cancellieri
- 1363 Veterans Hwy Ste 8
- Hauppauge, NY
- Zip : 11788-3046
- Phone : (631) 366-3876
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 010724 | NY |
National Provider Identifier
| NPI | 1003123456 |
|---|---|
| Provider Name | Kimberly Cancellieri |
| First Address | Hauppauge, NY 11788-9005 |
| Second Address | Hauppauge, NY 11788-3046 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2010 |
| Last Update Date | 09/02/2011 |
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.