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NPI Code Detail

MEDICARE: MRS. CHAVIVA SARF OTR/L

MEDICARE:  MRS. CHAVIVA  SARF  OTR/L
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
1225X00000XOccupational TherapistNY

General Provider Information

NPI Number : 1043562093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHAVIVA SARF OTR/L
Provider Business Mailing Address
First Line : 1730 NEW HAVEN AVE 2ND FLOOR
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691
Country : US
Telephone Number : 845-596-1719
Fax Number :
Provider Business Practice Location Address
First Line : 1730 NEW HAVEN AVE FL 2
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-5115
Country : US
Telephone Number : 845-596-1719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2012
Last Update Date : 10/15/2012

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Directions to “ MRS. CHAVIVA SARF OTR/L” Practice Location

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