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NPI Code Detail

MEDICARE: MR. JANGIR SULTAN OTR/L

MEDICARE: MR. JANGIR SULTAN 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 Therapist63010018NY

General Provider Information

NPI Number : 1447498597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JANGIR SULTAN OTR/L
Provider Business Mailing Address
First Line : 1432 5TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10035-4521
Country : US
Telephone Number : 646-634-5315
Fax Number :
Provider Business Practice Location Address
First Line : 1432 5TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10035-4521
Country : US
Telephone Number : 646-634-5315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2009
Last Update Date : 02/24/2016

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