NPI 1245880293
Christian Bantigue, COTA
Practice location
- Address
- 107 Northern Blvd STE 308, Great Neck, NY 11021-4309
- Phone
- (516) 504-4263
- Mailing address
- 6945 108th St APT 9e, Forest Hills, NY 11375-3836
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1245880293
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Sep 2019
- Record last updated
- 11 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.