MEDICARE: MR. JAIME ALEMAN OT

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	010496	NY

General Provider Information

NPI Number	:	1659631737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAIME ALEMAN OT

Provider Business Mailing Address
First Line	:	88-23 37 AVENUE 147
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8823 37TH AVE # 147
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7736
Country	:	US
Telephone Number	:	347-256-8459
Fax Number	:

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

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	05/22/2012

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