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NPI Code Detail

MEDICARE: DAISY STEPHEN OT

MEDICARE: DAISY STEPHEN OT
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 Therapist013464NY

General Provider Information

NPI Number : 1457906612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY STEPHEN OT
Provider Business Mailing Address
First Line : 171 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 171 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1023
Country : US
Telephone Number : 914-837-6538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2019
Last Update Date : 08/08/2019

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Directions to “ DAISY STEPHEN OT” Practice Location

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