Mark Sudol, OT

Occupational Therapist · Bardonia, NY

Individual Active NPI

NPI number 1871069963

Practice location

167 Route 304
Bardonia, NY 10954-2050
Phone
(973) 930-7377

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NPI record

NPI
1871069963
Entity type
Individual (Type 1)
Enumeration date
October 16, 2018
Last updated
October 16, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 022873 NY

Mailing address

1194 Westbrook Rd
West Milford, NJ 07480-3008
Phone
(973) 930-7377

About Mark Sudol

Mark Sudol, OT is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 167 Route 304, Bardonia, NY 10954-2050. The NPI number 1871069963 was assigned on October 16, 2018 and the record was last updated on October 16, 2018.

Mark Sudol lists a license in the registry: #022873 (NY) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Sudol, OT?

The NPI number is 1871069963.

What is the phone number of Mark Sudol?

The phone number listed for the practice location is (973) 930-7377.

Where is Mark Sudol located?

167 Route 304, Bardonia, NY 10954-2050.

What is the taxonomy code for Mark Sudol?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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