MEDICARE: VANESSA PASTORE MA, OTR/L

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	005678-1	NY
2	225XP0200X	Pediatric Occupational Therapist	005678-1	NY

General Provider Information

NPI Number	:	1184931685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA PASTORE MA, OTR/L

Provider Business Mailing Address
First Line	:	495 CENTRAL PARK AVE STE 206
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-1038
Country	:	US
Telephone Number	:	914-704-0765
Fax Number	:

Provider Business Practice Location Address
First Line	:	495 CENTRAL PARK AVE STE 206
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-1038
Country	:	US
Telephone Number	:	914-704-0765
Fax Number	:

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

Provider Enumeration Date	:	09/03/2010
Last Update Date	:	09/20/2024

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Directions to “ VANESSA PASTORE MA, OTR/L” Practice Location

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