Basic Information
| Provider Information | |||||||||
| NPI: | 1932438942 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABIUSO | ||||||||
| FirstName: | ROBERT | ||||||||
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| NameSuffix: | JR. | ||||||||
| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1728 SUNRISE HWY | ||||||||
| Address2: | |||||||||
| City: | MERRICK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115663745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5169924700 | ||||||||
| FaxNumber: | 5169924722 | ||||||||
| Practice Location | |||||||||
| Address1: | 30 HEMPSTEAD AVE | ||||||||
| Address2: | |||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115704033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165363800 | ||||||||
| FaxNumber: | 5169924722 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/22/2009 | ||||||||
| LastUpdateDate: | 12/22/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 011694 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.