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NPI Code Detail

MEDICARE: EZRA KIMELSTEIN OTR/L

MEDICARE: EZRA KIMELSTEIN OTR/L
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 Therapist024262NY

General Provider Information

NPI Number : 1346888146
Entity Type Code : Individual
Provider Name (Legal Business Name) : EZRA KIMELSTEIN OTR/L
Provider Business Mailing Address
First Line : 921 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1393
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 921 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1393
Country : US
Telephone Number : 718-778-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2019
Last Update Date : 01/27/2026

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Directions to “ EZRA KIMELSTEIN OTR/L” Practice Location

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