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NPI Code Detail

MEDICARE: MRS. VANESSA NOELL MIGLIOZZI MS OTR/L

MEDICARE: MRS. VANESSA NOELL MIGLIOZZI MS 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 Therapist017395-1NY

General Provider Information

NPI Number : 1659685303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VANESSA NOELL MIGLIOZZI MS OTR/L
Provider Business Mailing Address
First Line : 66 HULSE RD
Second Line :
City : EAST SETAUKET
State : NY
Zip : 11733-3738
Country : US
Telephone Number : 631-834-2423
Fax Number :
Provider Business Practice Location Address
First Line : 66 HULSE RD
Second Line :
City : EAST SETAUKET
State : NY
Zip : 11733-3738
Country : US
Telephone Number : 631-834-2423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2010
Last Update Date : 05/08/2012

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