Peter Edward Jerabeck in Staten Island - Occupational Therapist

Peter Edward Jerabeck - NPI 1477619716

Peter Edward Jerabeck is a Occupational Therapist in Staten Island, New York. Peter Edward Jerabeck practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Peter Edward Jerabeck is 1477619716. The last update date is 2007-07-08.

Peter Edward Jerabeck's current location address is 11 Ralph Place, Staten Island, New York. You can contact this provider via phone number 7184470733 and fax number 7184472423. The mailing address for Peter Edward Jerabeck is 11 Ralph Place, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Edward Jerabeck
Address 11 Ralph Place, Staten Island, New York
Phone Number 7184470733
Fax Number 7184472423
Sole Proprietor N
Credentials OTR

NPI Number Detail

NPI Number 1477619716
Provider Enumeration Date 2006-12-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11 Ralph Place
City Staten Island
State New York (NY)
Post Code 10304
Phone Number 7184470733
Fax Number 7184472423

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 1705
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
160897 NY ELDERPLAN
19868P NY HIP
4C2101 NY HEALTH NET
OS165 NY OXFORD
14290 NY GROUP HEALTH INC

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FAQs about Peter Edward Jerabeck

What is the unique identifier code issued to Peter Edward Jerabeck by the Centers for Medicare & Medicaid Services (CMS)?

The Peter Edward Jerabeck has been assigned the NPI (National Provider Identifier) 1477619716. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Peter Edward Jerabeck located?

The Peter Edward Jerabeck is located at 11 Ralph Place, Staten Island, NY 10304.

What is the Peter Edward Jerabeck's specialty and taxonomy code?

The Peter Edward Jerabeck's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1477619716 to Peter Edward Jerabeck?

The Peter Edward Jerabeck received its 1477619716 assignment from the Centers for Medicare & Medicaid Services on 2006-12-29.

When was the information pertaining to Peter Edward Jerabeck most recently updated or revised?

The details related to Peter Edward Jerabeck, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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