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General NPI Number Information
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NPI Number | 1053294645
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Entity Type | Individual
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Provider Name | MARIAM ZAKY
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 587 MAIN ST
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City | ROOSEVELT ISLAND
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State | NY
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Zip | 10044-0096
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Country | US
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Telephone | 212-223-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 43B TAYLOR AVE
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-1445
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Country | US
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Telephone | 732-604-7209
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 030336
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License Number State | NY
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