MEDICARE: MS. TASNEEM QAMAR 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
1	225X00000X	Occupational Therapist	012637-1	NY

General Provider Information

NPI Number	:	1679830483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TASNEEM QAMAR OTR/L

Provider Business Mailing Address
First Line	:	7915 35TH AVE
Second Line	:	2A
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2744
Country	:	US
Telephone Number	:	718-651-6036
Fax Number	:

Provider Business Practice Location Address
First Line	:	7915 35TH AVE
Second Line	:	2A
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2744
Country	:	US
Telephone Number	:	718-651-6036
Fax Number	:

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

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	04/18/2012

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