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NPI Code Detail

MEDICARE: AYESHA NIAZI OTR/L, CLT

MEDICARE: AYESHA NIAZI OTR/L, CLT
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 Therapist021128NY

General Provider Information

NPI Number : 1831969252
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYESHA NIAZI OTR/L, CLT
Provider Business Mailing Address
First Line : 6 MEDICAL PLZ
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6 MEDICAL PLZ
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2108
Country : US
Telephone Number : 516-234-5079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2024
Last Update Date : 01/09/2026

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