Provider Demographics
NPI:1548482136
Name:RENEE L OKOYE
Entity type:Organization
Organization Name:RENEE L OKOYE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:L
Authorized Official - Last Name:OKOYE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:516-935-3683
Mailing Address - Street 1:270 DUFFY AVENUE
Mailing Address - Street 2:SUITE G
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801
Mailing Address - Country:US
Mailing Address - Phone:516-935-3683
Mailing Address - Fax:516-935-0365
Practice Address - Street 1:270 DUFFY AVENUE
Practice Address - Street 2:SUITE G
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801
Practice Address - Country:US
Practice Address - Phone:516-935-3683
Practice Address - Fax:516-935-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0691225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty