Most Relevant Information
Provider Data
| NPI Number: | 1003453127 |
| Provider Name: | ANDREA PASSANNANTE OT, OTR/L, CDIS |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 006482 |
Most Important Dates
| Enumeration Date: | 12/09/2019 |
| Last Updated: | 12/09/2019 |
Provider Practice Location
301 E MAIN ST
BAY SHORE
NY
117068408
Practice Location Phone/Fax
| Phone: | 6319683400 |
| Fax: |
Provider Mailing Location
31 GRASSMERE AVE
OAKDALE
NY
117691910
Provider Mailing Phone/Fax
| Phone: | 6315632366 |
| Fax: |