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NPI Code Detail

MEDICARE: ELBA MELINA NUNEZ

MEDICARE: ELBA MELINA NUNEZ
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
1225XP0019XPhysical Rehabilitation Occupational Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336889765
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELBA MELINA NUNEZ
Provider Business Mailing Address
First Line : 52 CLAVERACK RD
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1577
Country : US
Telephone Number : 862-374-6440
Fax Number :
Provider Business Practice Location Address
First Line : 214 W HOUSTON ST # 214
Second Line :
City : NEW YORK
State : NY
Zip : 10014-4846
Country : US
Telephone Number : 212-337-9400
Fax Number : --
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 04/01/2022

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