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NPI Code Detail

MEDICARE: CARYN WESLEY

MEDICARE: CARYN WESLEY
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 Therapist014536-1NY

General Provider Information

NPI Number : 1962714527
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARYN WESLEY
Provider Business Mailing Address
First Line : 1225 E 70TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3936 AMBOY RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-2406
Country : US
Telephone Number : 718-317-6390
Fax Number : 718-317-6391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2010
Last Update Date : 07/11/2010

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Directions to “ CARYN WESLEY ” Practice Location

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