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NPI Code Detail

MEDICARE: ANNA GOLDSTEIN OTR/L

MEDICARE:   ANNA  GOLDSTEIN  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
1225X00000XOccupational Therapist022624NY

General Provider Information

NPI Number : 1376022269
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA GOLDSTEIN OTR/L
Provider Business Mailing Address
First Line : 93 ATLANTIC AVE APT 3F
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-6718
Country : US
Telephone Number : 973-202-5663
Fax Number :
Provider Business Practice Location Address
First Line : 93 ATLANTIC AVE APT 3F
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-6718
Country : US
Telephone Number : 973-202-5663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2018
Last Update Date : 06/25/2020

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Directions to “ ANNA GOLDSTEIN OTR/L” Practice Location

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