MEDICARE: MS. TZIVI BERGER OTR

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	021442	NY

General Provider Information

NPI Number	:	1376079657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TZIVI BERGER OTR

Provider Business Mailing Address
First Line	:	1234 E 29TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4631
Country	:	US
Telephone Number	:	917-806-0383
Fax Number	:

Provider Business Practice Location Address
First Line	:	1234 E 29TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4631
Country	:	US
Telephone Number	:	917-806-0383
Fax Number	:

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

Provider Enumeration Date	:	05/05/2017
Last Update Date	:	09/25/2025

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