Active NPIIndividual providerSole proprietor

Melanie R Iacullo, OTR/L

Occupational Therapist in Monroe, New York

NPI Number1093476400
Practice location
3 Van Keuren CT, Monroe, NY 10950-1525
Fax
—
Last updated
January 7, 2022

Melanie Rose Iacullo is an Occupational Therapist based in Monroe, NY. Melanie Rose Iacullo practices in Monroe, NY and has the professional credentials of OTR/L. The NPI Number for Melanie Rose Iacullo is 1093476400 and holds a License No. 026454 (NY). The current practice location address for Melanie Rose Iacullo is 3 Van Keuren CT, Monroe, NY 10950-1525 and can be reached out via phone at 845-545-4632.

Provider Profile Details

NPI Number
1093476400
Provider Name
Melanie Rose Iacullo
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
3 Van Keuren CT, Monroe, NY 10950-1525
Phone Number
845-545-4632
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 7, 2022
Last Update Date
January 7, 2022
Certification Date
January 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Van Keuren CT
Monroe, NY 10950-1525
City
Monroe
Zip
10950-1525
Phone Number
845-545-4632
Monroe, NY 10950Get directions →

Provider Business Mailing Address Details

Address
3 Van Keuren CT
Monroe, NY 10950-1525
City
Monroe
State
NY
Zip
10950-1525
Phone Number
845-545-4632

License Information

License Number
026454
License State
NY
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Melanie R Iacullo, OTR/L?

The NPI number of Melanie R Iacullo, OTR/L is 1093476400. It was assigned on January 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Melanie R Iacullo, OTR/L?

Melanie R Iacullo, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 026454.

Where does Melanie R Iacullo, OTR/L practice?

The practice location is 3 Van Keuren CT, Monroe, NY 10950-1525. The office can be reached at 845-545-4632 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093476400 directly on the NPPES registry website.

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