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NPI Code Detail

MEDICARE: SUZANNE BETH KAUFMAN COTA/L

MEDICARE: SUZANNE BETH KAUFMAN COTA/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
1224Z00000XOccupational Therapy Assistant004236-1NY

General Provider Information

NPI Number : 1356596795
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE BETH KAUFMAN COTA/L
Provider Business Mailing Address
First Line : 229 TREETOP CIR
Second Line :
City : NANUET
State : NY
Zip : 10954-1021
Country : US
Telephone Number : 845-548-1631
Fax Number :
Provider Business Practice Location Address
First Line : 15 MOUNT EBO RD S
Second Line :
City : BREWSTER
State : NY
Zip : 10509-4004
Country : US
Telephone Number : 845-940-1810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2008
Last Update Date : 11/26/2008

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