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NPI Code Detail

MEDICARE: DULBANIA MEJIA COTA

MEDICARE:   DULBANIA  MEJIA  COTA
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 Assistant

General Provider Information

NPI Number : 1124418512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DULBANIA MEJIA COTA
Provider Business Mailing Address
First Line : 255 WARNER AVE
Second Line : REHABILITATION DEPARTMENT
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-1000
Country : US
Telephone Number : 516-621-5400
Fax Number :
Provider Business Practice Location Address
First Line : 255 WARNER AVE
Second Line : REHABILITATION DEPARTMENT
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-1000
Country : US
Telephone Number : 516-621-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2015
Last Update Date : 01/23/2015

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Directions to “ DULBANIA MEJIA COTA” Practice Location

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