MEDICARE: DANIELLE GARCIA

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	224Z00000X	Occupational Therapy Assistant	007291-1	NY

General Provider Information

NPI Number	:	1194025577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE GARCIA

Provider Business Mailing Address
First Line	:	163 CORDIAL RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2601
Country	:	US
Telephone Number	:	914-462-9934
Fax Number	:

Provider Business Practice Location Address
First Line	:	163 CORDIAL RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2601
Country	:	US
Telephone Number	:	914-462-9934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2010
Last Update Date	:	08/29/2014

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Directions to “ DANIELLE GARCIA ” Practice Location

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