Provider Demographics
NPI:1053146217
Name:GENE ADAMOWICZ
Entity type:Organization
Organization Name:GENE ADAMOWICZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OCCUPATIONAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ADAMOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MOT
Authorized Official - Phone:631-563-2225
Mailing Address - Street 1:1300 MONTAUK HWY STE D
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1339
Mailing Address - Country:US
Mailing Address - Phone:631-563-2225
Mailing Address - Fax:
Practice Address - Street 1:1300 MONTAUK HWY STE D
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1339
Practice Address - Country:US
Practice Address - Phone:631-563-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENE ADAMOWICZ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty