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General NPI Number Information
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NPI Number | 1962010629
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Entity Type | Organization
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Legal Business Name | CREATE ABILITIES OF NY OCCUPATIONAL THERAPY, PLLC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 81 PONDFIELD RD STE 5
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City | BRONXVILLE
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State | NY
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Zip | 10708-3817
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Country | US
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Telephone | 914-337-0034
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Fax |
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Provider Business Mailing Address
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Address Line | 81 PONDFIELD RD STE 5
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City | BRONXVILLE
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State | NY
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Zip | 10708-3817
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Country | US
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Telephone | 914-337-0034
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Fax |
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Authorized Official
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Title or Position | OWNER, OCCUPATIONAL THERAPIST
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Name | VANESSA PASTORE
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Credential | MA, OTR/L
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Telephone | 914-337-0034
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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 |
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License Number State |
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