Provider Demographics
NPI:1316418452
Name:MCGAY-MARPLE, CAROLINE ANN I (OT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ANN
Last Name:MCGAY-MARPLE
Suffix:I
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 WEEKS AVE
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-2042
Mailing Address - Country:US
Mailing Address - Phone:631-875-3455
Mailing Address - Fax:
Practice Address - Street 1:68 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11977-1259
Practice Address - Country:US
Practice Address - Phone:631-240-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007621225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation