Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 007477 | NY |
N | 225XE0001X | Environmental Modification | 007477 | NY |
N | 2251E1200X | Ergonomics | 007477 | NY |
N | 225XE1200X | Ergonomics | 007477 | NY |
N | 225XF0002X | Feeding, Eating & Swallowing | 007477 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 007477 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 007477 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 007477 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 007477 | NY |
N | 225XR0403X | Driving and Community Mobility | 007477 | NY |
NPI | 1518285287 |
---|---|
Provider Name | Mr. William Daniel Dease III |
First Address | Syosset, NY 11791-4436 |
Second Address | Syosset, NY 11791-4436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2010 |
Last Update Date | 28/02/2017 |