Individual ProviderDavid Nicholas Van AkenOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6917 61st Rd, Middle Village, NY 11379-0000(917) 832-0167PECOS EnrollmentBased on the most recent information from CMS, provider David Nicholas Van Aken does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1861162711Provider TypeIndividualFull NameVan Aken, David NicholasCredentialOTR/LGenderMaleSole ProprietorNoEnumeration Date9/13/2021Last Updated8/19/2022Contact InformationPractice LocationPractice Address6917 61st Rd, Middle Village, NY 11379-0000Phone(917) 832-0167FaxUnlisted FaxMailing LocationMailing Address69-17 61st Rd, Middle Village, NY 11379-0000Phone(917) 832-0167FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225XP0200XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode225XH1200XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense025769New York