Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gerald O Ikezi

Individual provider Occupational Therapy Assistant · NPI 1013211515

Mr. Gerald O Ikezi is an Occupational Therapy Assistant in Addisleigh Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

17330 113th Ave
Addisleigh Park, NY 11433-4003
Phone: (718) 207-3292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 007775-1 (NY)

Record details

NPI number1013211515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 27, 2010
Last updated in NPPESDecember 27, 2010