MEDICARE: DAWN POON

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	225X00000X	Occupational Therapist	020751	NY

General Provider Information

NPI Number	:	1346715430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN POON

Provider Business Mailing Address
First Line	:	18 WISTERIA LN
Second Line	:
City	:	WANTAGH
State	:	NY
Zip	:	11793-1309
Country	:	US
Telephone Number	:	516-455-4206
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 CEDAR ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-3253
Country	:	US
Telephone Number	:	718-455-6200
Fax Number	:

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

Provider Enumeration Date	:	10/04/2018
Last Update Date	:	10/04/2018

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Directions to “ DAWN POON ” Practice Location

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