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NPI Code Detail

MEDICARE: TUNDE CSIBI OT

MEDICARE: TUNDE CSIBI 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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1912667585
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUNDE CSIBI OT
Provider Business Mailing Address
First Line : 411 THROOP ST
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-3010
Country : US
Telephone Number : 631-521-4565
Fax Number :
Provider Business Practice Location Address
First Line : 1842 E JERICHO TPKE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-5796
Country : US
Telephone Number : 631-521-4565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2021
Last Update Date : 12/23/2021

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Directions to “ TUNDE CSIBI OT” Practice Location

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