MEDICARE: MRS. GALYNA MAKAROVSKIY

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	026068	NY

General Provider Information

NPI Number	:	1174286967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GALYNA MAKAROVSKIY

Provider Business Mailing Address
First Line	:	2355 E 12TH ST APT 2N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4230
Country	:	US
Telephone Number	:	718-915-2529
Fax Number	:

Provider Business Practice Location Address
First Line	:	2355 E 12TH ST APT 2N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4230
Country	:	US
Telephone Number	:	718-915-2529
Fax Number	:

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

Provider Enumeration Date	:	10/19/2021
Last Update Date	:	10/19/2021

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