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General NPI Number Information
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NPI Number | 1669478574
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Entity Type | Organization
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Legal Business Name | NY HAND REHABILITATION OT PC
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 219 E 69TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-5452
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Country | US
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Telephone | 212-472-1000
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Fax | 212-472-1066
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Provider Business Mailing Address
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Address Line | 219 E 69TH ST STE 1K
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City | NEW YORK
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State | NY
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Zip | 10021-5452
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Country | US
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Telephone | 212-472-1000
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Fax | 212-472-1066
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. WENDY R BURNETT
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Credential | OTR/CHT
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Telephone | 212-472-1000
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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 | 012629-11
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License Number State | NY
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