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General NPI Number Information
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NPI Number | 1972074557
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH DESIMONE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 116 E CARMANS RD
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City | FARMINGDALE
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State | NY
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Zip | 11735-3836
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Country | US
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Telephone | 631-752-3938
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Fax | 631-752-3938
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Provider Business Mailing Address
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Address Line | 20 CARREAU AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3729
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Country | US
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Telephone | 516-592-1792
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Fax | 631-752-3938
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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 | 46TR01017600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 022635
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License Number State | NY
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