MEDICARE: MR. NASIR KARIM B.S. OT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	225XN1300X	Neurorehabilitation Occupational Therapist
3	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1154560878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NASIR KARIM B.S. OT

Provider Business Mailing Address
First Line	:	1056 E 12TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4138
Country	:	US
Telephone Number	:	347-879-3691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1056 E 12TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4138
Country	:	US
Telephone Number	:	347-879-3691
Fax Number	:

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

Provider Enumeration Date	:	02/19/2009
Last Update Date	:	02/24/2009

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