Provider Demographics
NPI:1043536329
Name:ENABLING THERAPY
Entity type:Organization
Organization Name:ENABLING THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CLT, CHT
Authorized Official - Phone:646-369-8005
Mailing Address - Street 1:4355 KISSENA BLVD
Mailing Address - Street 2:1B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3185
Mailing Address - Country:US
Mailing Address - Phone:646-369-8005
Mailing Address - Fax:718-269-9558
Practice Address - Street 1:4355 KISSENA BLVD
Practice Address - Street 2:1B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3185
Practice Address - Country:US
Practice Address - Phone:646-369-8005
Practice Address - Fax:718-269-9558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-12
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0138551261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation