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NPI Code Detail

MEDICARE: MRS. MARY ANN LEVY COTA

MEDICARE:  MRS. MARY ANN  LEVY  COTA
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
1224Z00000XOccupational Therapy Assistant005541-1NY

General Provider Information

NPI Number : 1467750992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY ANN LEVY COTA
Provider Business Mailing Address
First Line : 944 STATE ROUTE 17K
Second Line :
City : MONTGOMERY
State : NY
Zip : 12549-2213
Country : US
Telephone Number : 845-457-2400
Fax Number :
Provider Business Practice Location Address
First Line : 944 STATE ROUTE 17K
Second Line :
City : MONTGOMERY
State : NY
Zip : 12549-2213
Country : US
Telephone Number : 845-457-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2011
Last Update Date : 08/01/2013

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Directions to “ MRS. MARY ANN LEVY COTA” Practice Location

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