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NPI 1891576922

NPI 1891576922 : ARIEL SAMANTHA CONTI OT : GREAT NECK, NY

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General NPI Number Information
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    NPI Number           |    1891576922
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    Entity Type          |    Individual 
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    Provider Name        |    ARIEL SAMANTHA CONTI OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2023
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    Last Update Date     |    10/13/2023
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Provider Practice Location Address
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    Address Line         |    600 NORTHERN BLVD STE 311 
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    City                 |    GREAT NECK
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    State                |    NY
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    Zip                  |    11021-5200
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    Country              |    US
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    Telephone            |    516-684-2655
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    Fax                  |    516-684-2683
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Provider Business Mailing Address
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    Address Line         |    168 BELLMORE RD 
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    City                 |    EAST MEADOW
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    State                |    NY
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    Zip                  |    11554-3433
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    Country              |    US
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    Telephone            |    516-974-5770
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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       |    028501
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    License Number State |    NY
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