Provider Demographics
NPI:1144051301
Name:NAUGHTON, LAURA ANNE (COTA/L)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNE
Last Name:NAUGHTON
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 GARDEN CIR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4802
Mailing Address - Country:US
Mailing Address - Phone:516-270-5249
Mailing Address - Fax:
Practice Address - Street 1:43 GARDEN CIR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4802
Practice Address - Country:US
Practice Address - Phone:516-270-5249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010936-01224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant