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NPI Code Detail

MEDICARE: SANDRA MILENA DUARTE OTR/L

MEDICARE:   SANDRA MILENA DUARTE  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
1224Z00000XOccupational Therapy Assistant007070NY
2225X00000XOccupational Therapist018116NY

General Provider Information

NPI Number : 1215161112
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA MILENA DUARTE OTR/L
Provider Business Mailing Address
First Line : 7000 AUSTIN ST STE 200
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4739
Country : US
Telephone Number : 718-762-7633
Fax Number :
Provider Business Practice Location Address
First Line : 7000 AUSTIN ST STE 200
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4739
Country : US
Telephone Number : 718-762-7633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2009
Last Update Date : 07/17/2013

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Directions to “ SANDRA MILENA DUARTE OTR/L” Practice Location

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