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NPI Code Detail

MEDICARE: DEANA SIEFERT OTR/L

MEDICARE:   DEANA  SIEFERT  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 Therapist024930NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1-OTHERNOT IDENTIFIED

General Provider Information

NPI Number : 1083228928
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANA SIEFERT OTR/L
Provider Business Mailing Address
First Line : 1233 12TH ST
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-3628
Country : US
Telephone Number : 631-617-7795
Fax Number :
Provider Business Practice Location Address
First Line : 1233 12TH ST
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-3628
Country : US
Telephone Number : 631-617-7795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2020
Last Update Date : 08/22/2023

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Directions to “ DEANA SIEFERT OTR/L” Practice Location

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