MEDICARE: MISS HARSHIKA J FARIA

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	027914	NY

General Provider Information

NPI Number	:	1487346177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS HARSHIKA J FARIA

Provider Business Mailing Address
First Line	:	35 RIVER DR S APT 2102
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-2728
Country	:	US
Telephone Number	:	857-294-3052
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 RIVER DR S APT 2102
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-2728
Country	:	US
Telephone Number	:	857-294-3052
Fax Number	:

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

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/22/2023

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