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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EDWARD F IMMEL, OTR

Active Sole Proprietor

MR. EDWARD F IMMEL, OTR is a Pediatric Occupational Therapist healthcare provider located in WANTAGH, New York. NPI 1578884771 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · WANTAGH, NY

Registration Details

NPI Number
1578884771
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2010 (15.95927512368 yrs)
Last Updated
Jun 22, 2010
License
012849 (NY)
Sole Proprietor
Yes

Practice Information

Address
1493 BLUE SPRUCE LN
WANTAGH, NY, 117932528
Browse NY providers · Browse ZIP 11793
Phone
5164568383
Primary Specialty
Pediatric Occupational Therapist
225XP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.