Edakulam, Stephen George

Edakulam, Stephen George is an individual health care provider with primary practice located at 12 Highland Blvd , Lynbrook NY 11563. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Edakulam, Stephen George can be contacted via phone (516) 554-7377.

Contact Information

Primary practice address
12 Highland Blvd Lynbrook NY 11563
Phone: (516) 554-7377
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1386992139
LBN Legal business name Edakulam, Stephen George
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2012
Last updated Aug 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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