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NPI Code Detail

MEDICARE: RACHEL JULIA SODANO

MEDICARE: RACHEL JULIA SODANO
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 Therapist023157NY

General Provider Information

NPI Number : 1053880708
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL JULIA SODANO
Provider Business Mailing Address
First Line : 5 SPARROW LN
Second Line :
City : WOODBURY
State : NY
Zip : 11797-3206
Country : US
Telephone Number : 516-884-5888
Fax Number :
Provider Business Practice Location Address
First Line : 150 W END AVE APT 1M
Second Line :
City : NEW YORK
State : NY
Zip : 10023-5715
Country : US
Telephone Number : 212-600-4781
Fax Number : 800-655-3780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2018
Last Update Date : 11/23/2018

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Directions to “ RACHEL JULIA SODANO ” Practice Location

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