MEDICARE: MS. TONINA ALBANESE 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
1	225X00000X	Occupational Therapist	008674-1	NY
2	225XP0200X	Pediatric Occupational Therapist	008674-1	NY

General Provider Information

NPI Number	:	1437302502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TONINA ALBANESE OTR/L

Provider Business Mailing Address
First Line	:	2335 61ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2635
Country	:	US
Telephone Number	:	718-998-6262
Fax Number	:	718-998-7477

Provider Business Practice Location Address
First Line	:	2335 61ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2635
Country	:	US
Telephone Number	:	718-998-6262
Fax Number	:	718-998-7477

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

Provider Enumeration Date	:	11/03/2008
Last Update Date	:	11/03/2008

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