MEDICARE: KNOWITALL MOMS

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1093174195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNOWITALL MOMS

Provider Business Mailing Address
First Line	:	1348 E 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1348 E 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4606
Country	:	US
Telephone Number	:	917-885-1534
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	MICHELE COHEN
Credential	:
Telephone Number	:	917-885-1534

Provider Enumeration Date	:	02/17/2016
Last Update Date	:	02/17/2016

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Directions to “KNOWITALL MOMS ” Practice Location

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