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NPI Code Detail

MEDICARE: ANNA CHERKASSKY OT

MEDICARE: ANNA CHERKASSKY OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist010973NY

General Provider Information

NPI Number : 1023109840
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA CHERKASSKY OT
Provider Business Mailing Address
First Line : 2555 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4730
Country : US
Telephone Number : 718-951-8800
Fax Number : 718-951-0846
Provider Business Practice Location Address
First Line : 2555 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4730
Country : US
Telephone Number : 718-951-8800
Fax Number : 718-951-0846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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