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NPI 1144013780

NPI 1144013780 : AVA SCHIRALDI OTR/L : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1144013780
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    Entity Type          |    Individual 
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    Provider Name        |    AVA SCHIRALDI OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/27/2025
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    Last Update Date     |    05/27/2025
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Provider Practice Location Address
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    Address Line         |    445 FOREST AVE 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10301-2638
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    Country              |    US
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    Telephone            |    718-979-5678
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    553 LAMOKA AVE 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10312-3434
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    Country              |    US
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    Telephone            |    917-434-1027
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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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    030184
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    License Number State |    NY
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