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NPI Code Detail

MEDICARE: CHERYL A BROWN COTA

MEDICARE:   CHERYL A BROWN  COTA
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
1224Z00000XOccupational Therapy Assistant001428-1NY

General Provider Information

NPI Number : 1740550946
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL A BROWN COTA
Provider Business Mailing Address
First Line : 2 NORWOOD PL
Second Line :
City : WYANDANCH
State : NY
Zip : 11798-1029
Country : US
Telephone Number : 631-848-2336
Fax Number :
Provider Business Practice Location Address
First Line : 2 NORWOOD PL
Second Line :
City : WYANDANCH
State : NY
Zip : 11798-1029
Country : US
Telephone Number : 631-848-2336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2012
Last Update Date : 01/04/2012

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Directions to “ CHERYL A BROWN COTA” Practice Location

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