MEDICARE: TOVA HADAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	46TR00634300	NJ
2	225X00000X	Occupational Therapist	018371	NY

General Provider Information

NPI Number	:	1013346402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOVA HADAR

Provider Business Mailing Address
First Line	:	1263 E 12TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4801
Country	:	US
Telephone Number	:	908-370-9136
Fax Number	:

Provider Business Practice Location Address
First Line	:	1263 E 12TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4801
Country	:	US
Telephone Number	:	908-370-9136
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2013
Last Update Date	:	11/19/2019

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Directions to “ TOVA HADAR ” Practice Location

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