Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 006788-1 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 006788-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 006788-1 | NY |
NPI | 1679805444 |
---|---|
Provider Name | Mrs. Ann Marie Pittelli |
First Address | Huntington, NY 11743-3017 |
Second Address | Huntington, NY 11743-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2010 |
Last Update Date | 05/01/2021 |