Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Stephen George Edakulam, OTR/L

Individual provider Occupational Therapist · NPI 1386992139

Mr. Stephen George Edakulam, OTR/L is an Occupational Therapist in Lynbrook, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

12 Highland Blvd
Lynbrook, NY 11563
Phone: (516) 554-7377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386992139
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 28, 2012
Last updated in NPPESAugust 28, 2012

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