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NPI Code Detail

MEDICARE: MS. CYNTHIA MANNING OTR/L

MEDICARE: MS. CYNTHIA MANNING 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
1225XP0200XPediatric Occupational Therapist008471-1NY

General Provider Information

NPI Number : 1417102088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA MANNING OTR/L
Provider Business Mailing Address
First Line : 6325 DRY HARBOR RD
Second Line :
City : MIDDLE VILLAGE
State : NY
Zip : 11379-1964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6325 DRY HARBOR RD
Second Line :
City : MIDDLE VILLAGE
State : NY
Zip : 11379-1964
Country : US
Telephone Number : 718-639-9750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2008
Last Update Date : 11/24/2008

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