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NPI Code Detail

MEDICARE: MS. CECILE ELAINE HALL OCCUPATIONAL THERAPY

MEDICARE:  MS. CECILE ELAINE HALL  OCCUPATIONAL THERAPY
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 Therapist013356-1NY

General Provider Information

NPI Number : 1952451726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CECILE ELAINE HALL OCCUPATIONAL THERAPY
Provider Business Mailing Address
First Line : 4360 BAYCHESTER AVE
Second Line : APT 6A
City : BRONX
State : NY
Zip : 10466-1829
Country : US
Telephone Number : 718-325-6721
Fax Number :
Provider Business Practice Location Address
First Line : 4360 BAYCHESTER AVE
Second Line : APT 6A
City : BRONX
State : NY
Zip : 10466-1829
Country : US
Telephone Number : 718-325-6721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/08/2007

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Directions to “ MS. CECILE ELAINE HALL OCCUPATIONAL THERAPY” Practice Location

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