Provider Demographics
NPI:1730534884
Name:OCCUPATIONAL THERAPY CONCEPT P.C
Entity type:Organization
Organization Name:OCCUPATIONAL THERAPY CONCEPT P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:SHARMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TIU-CURCIO
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:917-442-5363
Mailing Address - Street 1:33-10 QUEENS BLVD., SUITE 301
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101
Mailing Address - Country:US
Mailing Address - Phone:917-442-5363
Mailing Address - Fax:347-242-3834
Practice Address - Street 1:33-10 QUEENS BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-2302
Practice Address - Country:US
Practice Address - Phone:917-442-5363
Practice Address - Fax:347-242-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013921225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty