Basic Information
| Provider Information | |||||||||
| NPI: | 1801062799 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADVANCED HAND THERAPY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 176 N VILLAGE AVE | ||||||||
| Address2: | STE 2C | ||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115703800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162554263 | ||||||||
| FaxNumber: | 5162554050 | ||||||||
| Practice Location | |||||||||
| Address1: | 176 N VILLAGE AVE | ||||||||
| Address2: | STE 2C | ||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115703800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162554263 | ||||||||
| FaxNumber: | 5162554050 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2008 | ||||||||
| LastUpdateDate: | 05/01/2008 | ||||||||
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| AuthorizedOfficialLastName: | SCALISE | ||||||||
| AuthorizedOfficialFirstName: | RICHARD | ||||||||
| AuthorizedOfficialMiddleName: | JAMES | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5162554263 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | OTR, CHT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | 003241-1 | NY | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |
No ID Information.