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NPI Code Detail

MEDICARE: DOROTHY A HARRISON MS/OT

MEDICARE: DOROTHY A HARRISON MS/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
1224Z00000XOccupational Therapy Assistant007630-1NY
2225X00000XOccupational TherapistP123750NY

General Provider Information

NPI Number : 1053612770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY A HARRISON MS/OT
Provider Business Mailing Address
First Line : 10B MADISON AVENUE EXT
Second Line :
City : ALBANY
State : NY
Zip : 12203-7314
Country : US
Telephone Number : 518-867-3061
Fax Number :
Provider Business Practice Location Address
First Line : 10B MADISON AVENUE EXT
Second Line :
City : ALBANY
State : NY
Zip : 12203-7314
Country : US
Telephone Number : 518-867-3061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2010
Last Update Date : 03/03/2026

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