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NPI Code Detail

MEDICARE: MS. JENNIFER RACHEL EISENBERG OTR

MEDICARE: MS. JENNIFER RACHEL EISENBERG OTR
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 Therapist63 015894NY

General Provider Information

NPI Number : 1255667150
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER RACHEL EISENBERG OTR
Provider Business Mailing Address
First Line : 138 READE ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-3968
Country : US
Telephone Number : 212-608-9661
Fax Number : 212-608-9660
Provider Business Practice Location Address
First Line : 138 READE ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-3968
Country : US
Telephone Number : 212-608-9661
Fax Number : 212-608-9660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2009
Last Update Date : 10/27/2009

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