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NPI Code Detail

MEDICARE: MS. JANE ANGELA LUKASZCZYK COTA

MEDICARE:  MS. JANE ANGELA LUKASZCZYK  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 : 1275080137
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANE ANGELA LUKASZCZYK COTA
Provider Business Mailing Address
First Line : 215 MAPLE AVE
Second Line :
City : WALLINGTON
State : NJ
Zip : 07057-1211
Country : US
Telephone Number : 201-398-6929
Fax Number :
Provider Business Practice Location Address
First Line : 6612 BERGENLINE AVE
Second Line :
City : WEST NEW YORK
State : NJ
Zip : 07093-1719
Country : US
Telephone Number : 201-854-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 09/07/2016

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Directions to “ MS. JANE ANGELA LUKASZCZYK COTA” Practice Location

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