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NPI Code Detail

MEDICARE: BIANA SPEKTOR OT

MEDICARE: BIANA SPEKTOR 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
1174400000XSpecialist010298-1NY

General Provider Information

NPI Number : 1518058213
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANA SPEKTOR OT
Provider Business Mailing Address
First Line : 2555 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4730
Country : US
Telephone Number : 718-951-8800
Fax Number : 718-951-0846
Provider Business Practice Location Address
First Line : 2555 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4730
Country : US
Telephone Number : 718-951-8800
Fax Number : 718-951-0846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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