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NPI Code Detail

MEDICARE: FAY BERGER ITZKOWITZ OTR/L

MEDICARE: FAY BERGER ITZKOWITZ 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 Therapist029025NY
2225XP0019XPhysical Rehabilitation Occupational Therapist029025NY

General Provider Information

NPI Number : 1447003629
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAY BERGER ITZKOWITZ OTR/L
Provider Business Mailing Address
First Line : 1119 E 31ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4732
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 458 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-4643
Country : US
Telephone Number : 646-847-1734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 07/09/2024

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Directions to “ FAY BERGER ITZKOWITZ OTR/L” Practice Location

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